Arthur Lee Adcock II, CRNA

Key facts

NPI: 1669729349
Entity type: Individual (NPI type 1)
Primary specialty: Certified Registered Nurse Anesthetist 367500000X
License: 256229 (NC)
Practice address: 131 Medical Park Rd
Suite 308
Mooresville, NC 28117-8522
Phone: (704) 662-0876
Fax: (704) 662-0875
NPI assigned: Aug 13, 2012
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

Lake Norman Anesthesia Associates Specialist · Mooresville, NC · NPI 1386753457

Medicare reassignment Care Compare group NPD NC

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Duke Health Lake Norman Regional Medical Center, Inc. General Acute Care Hospital · Mooresville, NC · NPI 1114731064

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Certified Registered Nurse Anesthetist (Crna)
Education: Other, 2012
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Lake Norman Anesthesia Associates (25 clinicians)

Practice addresses (Care Compare)

114 Commerce Ctr Loop
Suite B
Mooresville, NC 28117-8385
Phone (704) 662-0877

Hospital & facility affiliations

Duke Health Lake Norman Hospital Hospital · Mooresville, NC · CCN 340129

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20121112000109	NC	Practitioner - Certified Registered Nurse Anesthetist (Crna)	4880845239	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
256229	NC	MD	Certified Registered Nurse Anesthetist

Practice roles

Organization	Specialty	Status	New patients
Lake Norman Anesthesia Associates		Current since Sep 11, 2012	Accepting new patients

Locations

114 Commerce Center Loop
Ste B
Mooresville, NC 28117
Phone (704) 662-0877

131 Medical Park Rd
Ste 308
Mooresville, NC 28117
Phone (704) 660-2640

146 Medical Park Rd
Ste 108
Mooresville, NC 28117
Phone (704) 662-0876

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Certified Registered Nurse Anesthetist	367500000X	256229	NC	Yes

Addresses

Primary practice location

131 Medical Park Rd
Suite 308
Mooresville, NC 28117-8522

Mailing address

131 Medical Park Rd
Suite 308
Mooresville, NC 28117-8522
Phone (704) 662-0876

Other providers in Mooresville, NC

All providers in Mooresville, NC · Certified Registered Nurse Anesthetist in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.