Individual provider Active NPI

Mitchell Shane Lamerson, D.C.

  • Chiropractor
  • Kings Mountain, NC
National Provider Identifier
1154209534
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5952 Issued in NC
Practice address
510 W King St Ste a
Kings Mountain, NC 28086-3310
Phone
(980) 396-2811
NPI assigned
Aug 25, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5952 NC Primary

Addresses

Primary practice location

510 W King St Ste a
Kings Mountain, NC 28086-3310

Mailing address

510 W King St Ste a
Kings Mountain, NC 28086-3310
Phone (980) 396-2811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260219000620 NC Practitioner - Chiropractic 6709366529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

510 A W King St
Kings Mountain, NC 28086-3310

5344 Central Ave
Charlotte, NC 28212-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5952NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Clinic Estramonte Chiropractic Kings Mountain PA Chiropractor CurrentSince Dec 9, 2025 Accepting new patients

Locations

4016 Triangle Dr
Charlotte, NC 28208
Phone (704) 392-1338

510 W King St
#A
Kings Mountain, NC 28086
Phone (980) 396-2811

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1154209534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W KING ST STE A",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863310",
            "telephone_number": "980-396-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W KING ST STE A",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863310",
            "telephone_number": "980-396-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMERSON",
        "first_name": "MITCHELL",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.