LAKE NORMAN ORTHOPEDIC SPINE CENTER
NPI 1497032304
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Mooresville, NC

NPI Status: Active since November 05, 2011

Contact Information

170 MEDICAL PARK RD
SUITE 102
MOORESVILLE, NC
ZIP 28117
Phone: (704) 660-4756
Fax: (704) 660-4751

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  • Organization
  • Orthopaedic Surgery
  • Orthopaedic Surgery of the Spine
  • Accepts Insurance

About LAKE NORMAN ORTHOPEDIC SPINE CENTER

This page provides the complete NPI Profile along with additional information for Lake Norman Orthopedic Spine Center, a provider established in Mooresville, North Carolina operating as a Orthopaedic Surgery, focusing in orthopaedic surgery of the spine . The healthcare provider is registered in the NPI registry with number 1497032304 assigned on November 2011. The practitioner's primary taxonomy code is 207XS0117X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Lake Norman Orthopedic Spine Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Lake Norman Orthopedic Spine Center. The authorized official of this NPI record is Mrs. Jennifer L Jackson (Sir Dir Prov Enrollment & Onboardin)

NPI
1497032304
Provider Legal Name
MOORESVILLE PPM LLC
Other Organization Name
LAKE NORMAN ORTHOPEDIC SPINE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
170 MEDICAL PARK RD SUITE 102 MOORESVILLE, NC 28117
Location Phone
(704) 660-4756
Location Fax
(704) 660-4751
Mailing Address
4000 MERIDIAN BLVD FRANKLIN, TN 37067
Mailing Phone
(615) 465-7230
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-05-2011
Last Update Date
01-14-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Orthopaedic Surgery of the Spine

Taxonomy Code
207XS0117X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JENNIFER L JACKSON

Authorized Official Title
SIR DIR PROV ENROLLMENT & ONBOARDIN
Authorized Official Phone
(615) 465-3334

Reviews for LAKE NORMAN ORTHOPEDIC SPINE CENTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497032304, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 0 + 3 + 4 + 3 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1497032304.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Home Health
170 MEDICAL PARK RD, SUITE 208
MOORESVILLE, NC 28117
Obstetrics & Gynecology
170 MEDICAL PARK RD, SUITE 301
MOORESVILLE, NC 28117
Specialist
170 MEDICAL PARK RD, SUITE 101
MOORESVILLE, NC 28117
Internal Medicine (Pulmonary Disease)
170 MEDICAL PARK RD, SUITE 103
MOORESVILLE, NC 28117
Pain Medicine (Interventional Pain Medicine)
170 MEDICAL PARK RD, SUITE 310
MOORESVILLE, NC 28117
Family Medicine
170 MEDICAL PARK RD, SUITE 140
MOORESVILLE, NC 28117
Radiology (Radiation Oncology)
170 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Radiology (Radiation Oncology)
170 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Radiology (Radiation Oncology)
170 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Home Health
170 MEDICAL PARK RD, SUITE 208
MOORESVILLE, NC 28117
Pain Medicine (Interventional Pain Medicine)
170 MEDICAL PARK RD, SUITE 310
MOORESVILLE, NC 28117
Internal Medicine (Hematology & Oncology)
170 MEDICAL PARK RD, SUITE 101
MOORESVILLE, NC 28117
Pediatrics
170 MEDICAL PARK RD, SUITE 102A
MOORESVILLE, NC 28117
Pediatrics
170 MEDICAL PARK RD, SUITE 102A
MOORESVILLE, NC 28117
Internal Medicine (Pulmonary Disease)
170 MEDICAL PARK RD, SUITE 103
MOORESVILLE, NC 28117
Internal Medicine (Endocrinology, Diabetes & Metabolism)
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Physician Assistant
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Pain Medicine (Interventional Pain Medicine)
170 MEDICAL PARK RD, SUITE 301
MOORESVILLE, NC 28117
Internal Medicine (Pulmonary Disease)
170 MEDICAL PARK RD, SUITE103
MOORESVILLE, NC 28117
Internal Medicine
170 MEDICAL PARK RD, STE 140A
MOORESVILLE, NC 28117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497032304, enumerated as an "organization" on November 05, 2011.

The provider is located at 170 MEDICAL PARK RD SUITE 102 MOORESVILLE, NC 28117 and the phone number is (704) 660-4756.

Orthopaedic Surgery with taxonomy code 207XS0117X and a focus in Orthopaedic Surgery of the Spine.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.