Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waverly Surgery Center, PA

Organization Surgery Physician · NPI 1790538817

Waverly Surgery Center, PA provides Surgery Physician services in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11210 Golf Links Dr N Ste 105
Charlotte, NC 28277
Phone: (704) 800-4642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1790538817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Beck — President · (650) 861-1115
NPI enumeratedApril 9, 2024
Last updated in NPPESApril 9, 2024
Certification dateApril 4, 2024
Mailing address11210 Golf Links Dr N Ste 105, Charlotte, NC 28277

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