Lake Norman Emergency Medical Associates LLC
NPI 1053690560ActiveOrganization· Emergency Medicine· Mooresville, NC
Emergency Medicine in Mooresville, North Carolina, registered in NPPES in August 2011. The authorized official on file is David Parker, Coo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053690560 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2011 |
| Last updated in NPPES | Mar 16, 2021 |
| Certified by provider | Mar 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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