LAKESHORE ENDOCRINOLOGY
NPI 1710384466
Internal Medicine - Endocrinology, Diabetes & Metabolism in Mooresville, NC

NPI Status: Active since November 24, 2014

Contact Information

134 MEDICAL PARK RD
SUITE 108
MOORESVILLE, NC
ZIP 28117
Phone: (704) 660-4669
Fax: (704) 660-4295

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  • Organization
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism

About LAKESHORE ENDOCRINOLOGY

This page provides the complete NPI Profile along with additional information for Lakeshore Endocrinology, an internist established in Mooresville, North Carolina operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1710384466 assigned on November 2014. The practitioner's primary taxonomy code is 207RE0101X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Lakeshore Endocrinology 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 Lakeshore Endocrinology. The authorized official of this NPI record is Jennifer L Jackson (Sr Dir Prov Enrollment & Onboarding)

NPI
1710384466
Provider Legal Name
MOORESVILLE PPM LLC
Other Organization Name
LAKESHORE ENDOCRINOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
134 MEDICAL PARK RD SUITE 108 MOORESVILLE, NC 28117
Location Phone
(704) 660-4669
Location Fax
(704) 660-4295
Mailing Address
4000 MERIDIAN BLVD FRANKLIN, TN 37067
Mailing Phone
(615) 465-7230
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-24-2014
Last Update Date
01-14-2022
Code Navigator

An internist like Lakeshore Endocrinology is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

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

JENNIFER L JACKSON

Authorized Official Title
SR DIR PROV ENROLLMENT & ONBOARDING
Authorized Official Phone
(615) 465-3334

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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 1710384466, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 1 → 2 3 → 6 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 6 + 8 + 8 + 4 + 1 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1710384466.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Legal Medicine
134 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Neurological Surgery
134 MEDICAL PARK RD, SUITE 108
MOORESVILLE, NC 28117
Internal Medicine
134 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Internal Medicine (Cardiovascular Disease)
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Internal Medicine (Cardiovascular Disease)
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Internal Medicine (Cardiovascular Disease)
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Internal Medicine (Cardiovascular Disease)
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Nurse Practitioner
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Internal Medicine (Cardiovascular Disease)
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Nurse Practitioner (Family)
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Physician Assistant
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Physical Therapist
134 MEDICAL PARK RD
MOORESVILLE, NC 28117
Physical Therapist
134 MEDICAL PARK RD
MOORESVILLE, NC 28117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710384466, enumerated as an "organization" on November 24, 2014.

The provider is located at 134 MEDICAL PARK RD SUITE 108 MOORESVILLE, NC 28117 and the phone number is (704) 660-4669.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.