LAKE NORMAN EMERGENCY MEDICAL ASSOCIATES LLC
NPI 1053690560
Emergency Medicine in Mooresville, NC
NPI Status: Active since August 15, 2011
Contact Information
171 FAIRVIEW RD
MOORESVILLE, NC
ZIP 28117
Phone: (704) 660-4000
- Organization
- Emergency Medicine
- CLIA Number: 34D2120941
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-26-2026
About LAKE NORMAN EMERGENCY MEDICAL ASSOCIATES LLC
This page provides the complete NPI Profile along with additional information for Lake Norman Emergency Medical Associates Llc, a provider established in Mooresville, North Carolina operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1053690560 assigned on August 2011. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Lake Norman Emergency Medical Associates Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is David Parker (Coo)
- NPI
- 1053690560
- Provider Name
- LAKE NORMAN EMERGENCY MEDICAL ASSOCIATES LLC
- Entity Type
- Organization
- Location Address
- 171 FAIRVIEW RD MOORESVILLE, NC 28117
- Location Phone
- (704) 660-4000
- Mailing Address
- 319 SPRINGWOOD DR NE VALDESE, NC 28690
- Mailing Phone
- (828) 879-8419
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-15-2011
- Last Update Date
- 03-16-2021
- Code Navigator
Location Map
Secondary Locations
- 218 Old Mocksville Rd
Statesville, NC 28625
(704) 873-0281
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2120941
- Facility Type
- Physician Office
- Certificate Effective Date
- October 27, 2024
- Certificate Expiration Date
- October 26, 2026
- Laboratory Director
- SAMUEL E. INKUMSAH
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Lake Norman Emergency Medical Associates Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053690560, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053690560, enumerated as an "organization" on August 15, 2011.
The provider is located at 171 FAIRVIEW RD MOORESVILLE, NC 28117 and the phone number is (704) 660-4000.
Emergency Medicine with taxonomy code 207P00000X.
