Individual provider Active NPI

Lori Agan Sumner, PA

  • Physician Assistant
  • Huntersville, NC
National Provider Identifier
1649283458
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101622 Issued in NC
Practice address
9930 Kincey Ave Ste 130
Huntersville, NC 28078-6541
Phone
(980) 556-7140
Fax
(704) 817-4147
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101622 NC Primary

Addresses

Primary practice location

9930 Kincey Ave Ste 130
Huntersville, NC 28078-6541

Mailing address

PO Box 604050
Charlotte, NC 28260-4050

Other practice location 1

619 Sullivan Rd
Statesville, NC 28677-3437
Phone (704) 924-9111

Other practice location 2

544 Brawley School Rd Ste A
Mooresville, NC 28117-9393
Phone (704) 360-5190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000235 NC Practitioner - Physician Assistant 5890873590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NH-CL Clinics LLCGroup PAC ID 6305262692, 82 clinicians

Practice addresses (Care Compare)

500 Pineview Dr
Suite 205
Kernersville, NC 27284-3814
Phone (336) 329-3295

9930 Kincey Ave
Suite 130
Huntersville, NC 28078-6541
Phone (980) 556-7140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
101622NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mooresville Hma Physician Management, Inc. Family Medicine Past Accepting new patients
Iredell Physician Network LLC Family Medicine Past Accepting new patients
Iredell Physician Network, LLC Family Medicine Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lori.sumner@iredell.cernerdirect.com
  • Direct secure messaging: lorisumner@imhi.allscriptsdirect.net
  • Direct secure messaging: lsumner1641076@direct.novanthealth.org

Organizations & group practices 5

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1649283458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604050",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 KINCEY AVE STE 130",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786541",
            "telephone_number": "980-556-7140",
            "fax_number": "704-817-4147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 Sullivan Rd",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286773437",
            "country_code": "US",
            "telephone_number": "704-924-9111",
            "fax_number": "704-883-0452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "544 Brawley School Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281179393",
            "country_code": "US",
            "telephone_number": "704-360-5190",
            "fax_number": "704-360-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "LORI",
        "middle_name": "AGAN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.