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INTERVENTIONAL PAIN MANAGEMENT OF LAKE NORMAN PLLC
NPI 1992003339
Pain Medicine - Interventional Pain Medicine in Mooresville, NC

Active since March 09, 2011
170 MEDICAL PARK RD, SUITE 301, MOORESVILLE, NC 28117(704) 360-4378 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 7, 2023, Nov 3, 2016 (2 updates tracked since 2016).

About Interventional Pain Management Of Lake Norman Pllc NPPES

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

INTERVENTIONAL PAIN MANAGEMENT OF LAKE NORMAN PLLC (NPI 1992003339) is a healthcare organization registered as an interventional pain medicine in Mooresville, North Carolina and active in the NPI registry since March 2011. The organization lists William J Edmiston, Owner, as its authorized official.

NPPES Registry Identity

NPI1992003339
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameINTERVENTIONAL PAIN MANAGEMENT OF LAKE NORMAN PLLC
Location Address170 MEDICAL PARK RD, SUITE 301Mooresville, NC 28117-8540
Mailing Address170 Medical Park Rd, Suite 301Mooresville, NC 28117-8540 · (704) 360-4378
Phone(704) 360-4378
Organization SubpartNo
Authorized OfficialWilliam J EdmistonOwner · (704) 360-4378
Enumeration DateMarch 9, 2011
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1992003339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in NC · 200000410
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
170 MEDICAL PARK RD, Mooresville, NC 28117
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Other Identifiers 1

Medicaid891269NNC

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 ›

Other Providers at the Same Location NPPES 20

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

RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC.
Radiology (Radiation Oncology)
170 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Iredell County (704) 235-2580
LAILA NOOR MENON M.D.
Internal Medicine (Gastroenterology)
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Iredell County (704) 664-9506
PATRICK L. FRY MD
Internal Medicine
170 MEDICAL PARK RD, STE 140A
MOORESVILLE, NC 28117
Iredell County (704) 663-4443
WILLIAM JOHN EDMISTON JR. MD
Pain Medicine (Interventional Pain Medicine)
170 MEDICAL PARK RD, SUITE 301
MOORESVILLE, NC 28117
Iredell County (704) 360-4378
JOHN MICHAEL LESHER MD
Physical Medicine & Rehabilitation
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Iredell County (704) 664-9506
PAULA GLOVER HARRIS FNP
Nurse Practitioner (Family)
170 MEDICAL PARK RD, STE 140A
MOORESVILLE, NC 28117
Iredell County (704) 663-4443
LAKE NORMAN HEMATOLOGY AND ONCOLOGY SPECIALISTS PA
Internal Medicine (Hematology & Oncology)
170 MEDICAL PARK RD, SUITE 101
MOORESVILLE, NC 28117
Iredell County (704) 799-3946
MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC
Home Health
170 MEDICAL PARK RD, SUITE 208
MOORESVILLE, NC 28117
Iredell County (704) 660-4480

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 Interventional Pain Management Of Lake Norman PLLC's NPI number?

The NPI number for Interventional Pain Management Of Lake Norman PLLC is 1992003339. It was assigned to this organization in the NPPES registry on March 9, 2011.

Where is Interventional Pain Management Of Lake Norman PLLC located?

Interventional Pain Management Of Lake Norman PLLC is located at 170 Medical Park Rd Suite 301, Mooresville, NC 28117. The listed phone number is (704) 360-4378.

What is Interventional Pain Management Of Lake Norman PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

What insurance does Interventional Pain Management Of Lake Norman PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Interventional Pain Management Of Lake Norman 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 Interventional Pain Management Of Lake Norman PLLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.