Individual provider Active NPI

Joel H Sugarman, MD

  • Dermatology Physician
  • Mooresville, NC
National Provider Identifier
1720039399
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
200500264 Issued in NC
Practice address
140 Leaning Oak Drive
Ste 101
Mooresville, NC 28117-6991
Phone
(704) 658-9730
Fax
(704) 658-1457
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 200500264 NC Primary

Addresses

Primary practice location

140 Leaning Oak Drive
Ste 101
Mooresville, NC 28117-6991

Mailing address

140 Leaning Oak Drive
Ste 101
Mooresville, NC 28117-6991
Phone (704) 658-9730

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address staff@lakenormanderm.emadirect.md Direct
Direct Messaging Address staff@lakenormanderm.emadirect.md Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907000841 NC Practitioner - Dermatology 9032141932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Healthcare PAGroup PAC ID 9638070683, 226 clinicians

Practice addresses (Care Compare)

129 Sherlock Dr
Statesville, NC 28625-1916
Phone (704) 838-8245

138 Sherlock Dr
Statesville, NC 28625-1916
Phone (704) 873-1021

140 Leaning Oak Dr
Suite 101
Mooresville, NC 28117-6991
Phone (704) 658-9730

142 Sherlock Dr
Statesville, NC 28625-1916
Phone (704) 838-8256

152 Sherlock Dr
Statesville, NC 28625-1916
Phone (704) 838-8210

208 Old Mocksville Rd
Statesville, NC 28625-1930
Phone (704) 878-2011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions905
Removal or shaving of skin growth1-10
Skin biopsy1243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200500264NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Healthcare, PA CurrentSince Dec 18, 2023 Accepting new patients
Piedmont Healthcare, P.a. Dermatology CurrentSince Dec 18, 2023 Accepting new patients

Locations

140 Leaning Oak Dr
#101
Mooresville, NC 28117
Phone (704) 658-9730

208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215

650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277

Interoperability endpoints

  • Direct secure messaging: joelsugarman@phc.allscriptsdirect.net
  • Direct secure messaging: staff@lakenormanderm.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1720039399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LEANING OAK DRIVE",
            "address_2": "STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176991",
            "telephone_number": "704-658-9730",
            "fax_number": "704-658-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LEANING OAK DRIVE",
            "address_2": "STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176991",
            "telephone_number": "704-658-9730",
            "fax_number": "704-658-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGARMAN",
        "first_name": "JOEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200500264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@lakenormanderm.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "140 Leaning Oak Drive",
            "address_2": "Ste 101",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@lakenormanderm.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "140 Leaning Oak Drive",
            "address_2": "Ste 101",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281176991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.