LAKE NORMAN EMERGENCY MEDICAL ASSOCIATES LLC
NPI 1053690560
Emergency Medicine in Mooresville, NC
About Lake Norman Emergency Medical Associates Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE NORMAN EMERGENCY MEDICAL ASSOCIATES LLC (NPI 1053690560) is a healthcare organization registered as an emergency medicine in Mooresville, North Carolina and active in the NPI registry since August 2011. The organization maintains a secondary practice location in Statesville and lists David Parker, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Norman Emergency Medical Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Lake Norman Emergency Medical Associates LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lake Norman Emergency Medical Associates LLC's NPI number?
The NPI number for Lake Norman Emergency Medical Associates LLC is 1053690560. It was assigned to this organization in the NPPES registry on August 15, 2011.
Where is Lake Norman Emergency Medical Associates LLC located?
Lake Norman Emergency Medical Associates LLC is located at 171 Fairview Rd, Mooresville, NC 28117. The listed phone number is (704) 660-4000.
What is Lake Norman Emergency Medical Associates LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Lake Norman Emergency Medical Associates LLC enrolled in Medicare?
Yes. Lake Norman Emergency Medical Associates LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Norman Emergency Medical Associates LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Lake Norman Emergency Medical Associates LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (8) and Nurse Practitioner (2). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lake Norman Emergency Medical Associates LLC was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lake Norman Emergency Medical Associates Llc · NPI 1053690560
Emergency Medicine organization in Mooresville, North Carolina. Organization record, active in the CMS NPPES registry since August 15, 2011.
## Identity
- **NPI:** 1053690560 (Entity type: Organization)
- **Enumerated:** August 15, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** David Parker, COO
## Practice location
- **Address:** 171 FAIRVIEW RD, Mooresville, NC 28117-9500
- **Phone:** (704) 660-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (8), Nurse Practitioner (2); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053690560) · Data from the CMS NPPES public registry.