Northlake Children'S Associates, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

NORTHLAKE CHILDREN'S ASSOCIATES, P.A.

Practice address

170A Medical Park Rd
Suite 102
Mooresville, NC 28117

Phone

(704) 663-5240

Fax

(704) 663-5399

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Brittany Schipper, R.N.

Title

Office/Clinical Manager

Phone

(704) 663-5240

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Maje D. Goodwin, MD

  • Pediatrics Physician
  • Mooresville, NC
  • NPI 1932294717
  NPD (past)
• Mary-Margaret James, MD

  • Pediatrics Physician
  • Mooresville, NC
  • NPI 1437269644
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1235347378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170A MEDICAL PARK RD",
            "address_2": "SUITE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-663-5240",
            "fax_number": "704-663-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170A MEDICAL PARK RD",
            "address_2": "SUITE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-663-5240",
            "fax_number": "704-663-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE CHILDREN'S ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "SCHIPPER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OFFICE/CLINICAL MANAGER",
        "authorized_official_telephone_number": "704-663-5240",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011NT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Carolina CVS Pharmacy LLC
• North Carolina CVS Pharmacy LLC
• North Carolina CVS Pharmacy LLC
• North Carolina Em-I Medical Services PC
• Northern Piedmont Counseling PLLC
• Northland Hearing Centers, Inc.
• Northland Hearing Centers, Inc.
• Northshore Orthopedic & Sports Medicine Center PA
• Noteworthy Transport Solutions
• Marissa Novack, MD

• Pediatrics Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.