LAKE NORMAN PLASTIC SURGERY, PLLC
NPI 1720871593
Plastic Surgery in Huntersville, NC

Q: What is Lake Norman Plastic Surgery, PLLC's NPI number?

The NPI number for Lake Norman Plastic Surgery, PLLC is 1720871593. It was assigned to this organization in the NPPES registry on May 26, 2025.

Q: What is Lake Norman Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since May 26, 2025

9735 KINCEY AVE STE 205, HUNTERSVILLE, NC 28078(704) 885-0550(704) 885-0550 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 7, 2025, Jun 29, 2025, Jun 3, 2025 and 1 more (4 updates tracked since 2025).

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About Lake Norman Plastic Surgery, Pllc NPPES

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

LAKE NORMAN PLASTIC SURGERY, PLLC (NPI 1720871593) is a healthcare organization registered as a plastic surgery in Huntersville, North Carolina and active in the NPI registry since May 2025. The organization lists Henry Wilson, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1720871593

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameLAKE NORMAN PLASTIC SURGERY, PLLC

Location Address9735 KINCEY AVE STE 205Huntersville, NC 28078-9120

Mailing Address9735 Kincey Ave Ste 205Huntersville, NC 28078-9120 · (704) 885-0550 · Fax (704) 885-0550

Phone(704) 885-0550

Fax(704) 885-0550

Organization SubpartNo

Authorized OfficialHenry WilsonPhysician Owner · (704) 885-0550

Enumeration DateMay 26, 2025

Last NPPES UpdateNovember 7, 20254 updates tracked since enumeration

NPPES CertifiedNovember 7, 2025

✔ NPI 1720871593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

9735 KINCEY AVE STE 205, Huntersville, NC 28078

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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 Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Norman Plastic Surgery, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Norman Plastic Surgery, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Henry Wilson, MD

Plastic and Reconstructive Surgery

NPI 1558496117

9735 KINCEY AVE STE 205
Huntersville, NC 28078

(704) 885-0550

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lake Norman Plastic Surgery, PLLC's NPI number?

The NPI number for Lake Norman Plastic Surgery, PLLC is 1720871593. It was assigned to this organization in the NPPES registry on May 26, 2025.

Where is Lake Norman Plastic Surgery, PLLC located?

Lake Norman Plastic Surgery, PLLC is located at 9735 Kincey Ave Ste 205, Huntersville, NC 28078. The listed phone number is (704) 885-0550.

What is Lake Norman Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Lake Norman Plastic Surgery, PLLC enrolled in Medicare?

Yes. Lake Norman Plastic Surgery, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Norman Plastic Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Lake Norman Plastic Surgery, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Norman Plastic Surgery, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Lake Norman Plastic Surgery, PLLC 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 Lake Norman Plastic Surgery, PLLC was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.