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LAKE NORMAN ENDOCRINOLOGY & DIABETES, PC
NPI 1114205457
Internal Medicine - Endocrinology, Diabetes & Metabolism in Mooresville, NC

Active since August 03, 2011
143 JOE KNOX AVE, SUITE 100, MOORESVILLE, NC 28117(704) 664-2936 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Norman Endocrinology & Diabetes, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE NORMAN ENDOCRINOLOGY & DIABETES, PC (NPI 1114205457) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Mooresville, North Carolina and active in the NPI registry since August 2011. The organization lists Augustine U Obi, Owner, as its authorized official.

NPPES Registry Identity

NPI1114205457
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameLAKE NORMAN ENDOCRINOLOGY & DIABETES, PC
Location Address143 JOE KNOX AVE, SUITE 100Mooresville, NC 28117-9243
Mailing Address143 Joe Knox Ave, Suite 100Mooresville, NC 28117-9243 · (704) 664-2936
Phone(704) 664-2936
Organization SubpartNo
Authorized OfficialAugustine U ObiOwner · (704) 664-2910
Enumeration DateAugust 3, 2011
Last NPPES UpdateSeptember 26, 2012
✔ NPI 1114205457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NC · 9400602
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
143 JOE KNOX AVE, Mooresville, NC 28117
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Other Identifiers 2

Medicaid5918299NC
Medicare PINA406NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IREDELL PHYSICIAN NETWORK LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
143 JOE KNOX AVE, SUITE 100
MOORESVILLE, NC 28117
Iredell County (704) 878-4500
DR. FRANCESCA ZAPPASODI
Podiatrist (Foot & Ankle Surgery)
143 JOE KNOX AVE, SUITE 100
MOORESVILLE, NC 28117
Iredell County (704) 360-1102
DR. JAMES ALEXANDER ROBINSON D.P.M.
Podiatrist (Foot & Ankle Surgery)
143 JOE KNOX AVE, MOORESVILLE
MOORESVILLE, NC 28117
Iredell County (704) 662-3660

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 Endocrinology & Diabetes, PC's NPI number?

The NPI number for Lake Norman Endocrinology & Diabetes, PC is 1114205457. It was assigned to this organization in the NPPES registry on August 3, 2011.

Where is Lake Norman Endocrinology & Diabetes, PC located?

Lake Norman Endocrinology & Diabetes, PC is located at 143 Joe Knox Ave Suite 100, Mooresville, NC 28117. The listed phone number is (704) 664-2936.

What is Lake Norman Endocrinology & Diabetes, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Lake Norman Endocrinology & Diabetes, PC was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.