SOUTH LAKE PEDIATRICS
NPI 1295766079
Pediatrics in Huntersville, NC

Q: What is South Lake Pediatrics's NPI number?

The NPI number for South Lake Pediatrics is 1295766079. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Atrium Health Levine Children's South Lake Pediatrics.

Q: What is South Lake Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 06, 2006

9625 NORTHCROSS CENTER CT, STE 201, HUNTERSVILLE, NC 28078(704) 801-3097 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2023, Feb 13, 2023, Jan 18, 2023 and 40 more (43 updates tracked since 2015).

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About South Lake Pediatrics NPPES

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

SOUTH LAKE PEDIATRICS (NPI 1295766079) is a healthcare organization registered as a pediatrics in Huntersville, North Carolina and active in the NPI registry since July 2006. The organization lists Scott Rissmiller, Enterprise Evp, as its authorized official.

NPPES Registry Identity

NPI1295766079

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSOUTH LAKE PEDIATRICS

Location Address9625 NORTHCROSS CENTER CT, STE 201Huntersville, NC 28078-7348

Mailing AddressPo Box 19305Charlotte, NC 28219-9305 · (704) 631-0002

Phone(704) 801-3097

Organization SubpartYes

Authorized OfficialScott RissmillerEnterprise Evp · (704) 355-8675

Enumeration DateJuly 6, 2006

Last NPPES UpdateMarch 9, 202343 updates tracked since enumeration

✔ NPI 1295766079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

9625 NORTHCROSS CENTER CT, Huntersville, NC 28078

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Other Names 2

Doing Business AsSouth Lake Pediatrics

Doing Business AsAtrium Health Levine Children's South Lake Pediatrics

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

MARCIA RUBINOS MD

Pediatrics

9625 NORTHCROSS CENTER CT, STE 201
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 801-3097

MARY KATHERINE DAVIS MD

Pediatrics

9625 NORTHCROSS CENTER CT, STE 201
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 801-3097

JILL ALLISON HOPKINS MD

Pediatrics

9625 NORTHCROSS CENTER CT, STE 201
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 801-3097

CAROLINAS MEDICAL CENTER-NORTHEAST

Internal Medicine (Endocrinology, Diabetes & Metabolism)

9625 NORTHCROSS CENTER CT, SUITE 102-E
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 403-1311

DR FRANK KENDRICK DMD-HUNTERSVILLE PA

Dentist (Pediatric Dentistry)

9625 NORTHCROSS CENTER CT, SUITE: 101
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 875-9075

GLEN J. KOWALCHUK MD

Internal Medicine (Cardiovascular Disease)

9625 NORTHCROSS CENTER CT, STE 102
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 403-2860

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Psychiatry & Neurology (Neurology)

9625 NORTHCROSS CENTER CT, STE 102B
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 801-1240

CAROLINAS PHYSICIANS NETWORK, INC.

Urology (Pediatric Urology)

9625 NORTHCROSS CENTER CT, SUITE 102
HUNTERSVILLE, NC 28078

Mecklenburg County (704) 381-3510

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 South Lake Pediatrics's NPI number?

The NPI number for South Lake Pediatrics is 1295766079. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Atrium Health Levine Children's South Lake Pediatrics.

Where is South Lake Pediatrics located?

South Lake Pediatrics is located at 9625 Northcross Center Ct Ste 201, Huntersville, NC 28078. The listed phone number is (704) 801-3097.

What is South Lake Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does South Lake Pediatrics accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list South Lake Pediatrics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Lake Pediatrics was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.