Organization Active NPI

Lincoln Health System

  • Surgery Physician
  • Lincolnton, NC
National Provider Identifier
1043452709
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LINCOLN HEALTH SYSTEM
Doing business as
Cornerstone Surgical
Practice address
206 Gamble Dr
Suite C
Lincolnton, NC 28092-4439
Phone
(704) 735-7069
Fax
(704) 735-7537
NPI assigned
Mar 27, 2009
Organization subpart
Yes
Parent organization
LINCOLN HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jarrett L. Morris
Title
Vice President - Finance
Phone
(704) 732-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

206 Gamble Dr
Suite C
Lincolnton, NC 28092-4439

Mailing address

PO Box 602334
Charlotte, NC 28260-2334
Phone (704) 732-5501

Other identifiers 1

IdentifierTypeStateIssuer
5911397MedicaidNC

Other names 1

  • Cornerstone Surgical Doing business as

National Provider Directory

National Provider Directory
Part of
Lincoln Health System

Locations

628 Center Dr
Lincolnton, NC 28092
Phone (704) 732-0943

214 S Academy St
Lincolnton, NC 28092
Phone (704) 732-0943

1819 N Aspen St
Lincolnton, NC 28092
Phone (704) 732-0943

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1043452709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602334",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602334",
            "telephone_number": "704-732-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 GAMBLE DR",
            "address_2": "SUITE C",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924439",
            "telephone_number": "704-735-7069",
            "fax_number": "704-735-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINCOLN HEALTH SYSTEM",
        "enumeration_date": "2009-03-27",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JARRETT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "704-732-5501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911397",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.