LINCOLN PEDIATRICS CLINIC,PA
NPI 1477510659
Specialist in Lincolnton, NC

Active since April 30, 2006CLIA 34D0672047 · Waiver
113 DOCTORS PARK, LINCOLNTON, NC 28092(704) 735-1441 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lincoln Pediatrics Clinic,pa NPPES

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

LINCOLN PEDIATRICS CLINIC,PA (NPI 1477510659) is a healthcare organization registered as a specialist in Lincolnton, North Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Mina S Mofrad, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1477510659
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLINCOLN PEDIATRICS CLINIC,PA
Location Address113 DOCTORS PARKLincolnton, NC 28092-4407
Mailing Address113 Doctors ParkLincolnton, NC 28092-4407 · (704) 735-1441
Organization SubpartNo
Authorized OfficialMina S MofradTreasurer · (704) 735-1441
Enumeration DateApril 30, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1477510659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
113 DOCTORS PARK, Lincolnton, NC 28092

Other Identifiers 1

Medicaid8902019NC

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 34D0672047

Lincoln Pediatrics Clinic, PA · Lincolnton, NC
Active · expires Jul 11, 2027
CLIA Number34D0672047
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorGhulam S. Hussain
Laboratory Phone(704) 735-1441
Laboratory LocationLincoln Pediatrics Clinic, PA113 Doctors Park, Lincolnton, NC 28092
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Pediatrics
113 DOCTORS PARK, LINCOLN PEDIATRICS CLINIC, P.A.
LINCOLNTON, NC 28092
Pediatrics
113 DOCTORS PARK
LINCOLNTON, NC 28092
Nurse Practitioner (Pediatrics)
113 DOCTORS PARK
LINCOLNTON, NC 28092
Pediatrics
113 DOCTORS PARK
LINCOLNTON, NC 28092
Nurse Practitioner (Pediatrics)
113 DOCTORS PARK
LINCOLNTON, NC 28092
Specialist
113 DOCTORS PARK
LINCOLNTON, NC 28092

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 Lincoln Pediatrics Clinic,pa's NPI number?

The NPI number for Lincoln Pediatrics Clinic,pa is 1477510659. It was assigned to this organization in the NPPES registry on April 30, 2006.

Where is Lincoln Pediatrics Clinic,pa located?

Lincoln Pediatrics Clinic,pa is located at 113 Doctors Park, Lincolnton, NC 28092. The listed phone number is (704) 735-1441.

What is Lincoln Pediatrics Clinic,pa's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Lincoln Pediatrics Clinic,pa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0672047) is associated with this NPI, valid through July 11, 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 Lincoln Pediatrics Clinic,pa was last updated on August 22, 2020. 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.