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LUKE MEDICAL CLINIC, P.A.
NPI 1396918413
Family Medicine in Mt Holly, NC

Active since April 09, 2008CLIA 34D1036072 · Waiver
125 W CATAWBA AVE, MT HOLLY, NC 28120(704) 827-3014(704) 822-9114 Get Directions Write a Review

NPPES record last updated: November 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Luke Medical Clinic, P.a. NPPES

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

LUKE MEDICAL CLINIC, P.A. (NPI 1396918413) is a healthcare organization registered as a family medicine in Mt Holly, North Carolina and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Gregory L Glass, Owner, as its authorized official.

NPPES Registry Identity

NPI1396918413
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLUKE MEDICAL CLINIC, P.A.
Location Address125 W CATAWBA AVEMt Holly, NC 28120-1601
Mailing Address125 W Catawba AveMt Holly, NC 28120-1601 · (704) 827-3014 · Fax (704) 822-9114
Phone(704) 827-3014
Fax(704) 822-9114
Organization SubpartNo
Authorized OfficialGregory L GlassOwner · (704) 827-3014
Enumeration DateApril 9, 2008
Last NPPES UpdateNovember 8, 2010
✔ NPI 1396918413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 9401198
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

125 W CATAWBA AVE, Mt Holly, NC 28120
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN2344935NC

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1036072

Luke Medical Clinic · Mount Holly, NC
Active · expires Jan 19, 2027
CLIA Number34D1036072
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorGregory L. Glass
Laboratory Phone(704) 827-3014
Laboratory LocationLuke Medical Clinic125 W Catawba Ave, Mount Holly, NC 28120
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

BRIAN CHARLES WALLACE
Physician Assistant
125 W CATAWBA AVE
MOUNT HOLLY, NC 28120
Gaston County (704) 827-3014
MRS. KRISTAL ROSE BELL FNP-C
Nurse Practitioner (Family)
125 W CATAWBA AVE
MT HOLLY, NC 28120
Gaston County (704) 827-3014
JOELLE BROWN BRIDGES FNP-C
Nurse Practitioner (Family)
125 W CATAWBA AVE
MT HOLLY, NC 28120
Gaston County (704) 827-3014
MRS. SHELBY KING FIELDS RN
Nurse Practitioner (Family)
125 W CATAWBA AVE
MT HOLLY, NC 28120
Gaston County (704) 827-3014
DR. GREGORY LEE GLASS MD
Family Medicine
125 W CATAWBA AVE
MOUNT HOLLY, NC 28120
Gaston County (704) 827-3014
ADDIE ELIZABETH LAYTON FNP
Nurse Practitioner (Primary Care)
125 W CATAWBA AVE
MOUNT HOLLY, NC 28120
Gaston County (704) 827-3014
AMANDA NELSON FNP-BC
Nurse Practitioner (Family)
125 W CATAWBA AVE
MOUNT HOLLY, NC 28120
Gaston County (704) 827-3014

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 Luke Medical Clinic, P.A.'s NPI number?

The NPI number for Luke Medical Clinic, P.A. is 1396918413. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Luke Medical Clinic, P.A. located?

Luke Medical Clinic, P.A. is located at 125 W Catawba Ave, Mt Holly, NC 28120. The listed phone number is (704) 827-3014.

What is Luke Medical Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Luke Medical Clinic, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1036072) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Luke Medical Clinic, P.A. was last updated on November 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.