Active NPI
Joel H Sugarman, MD
- Dermatology Physician
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 200500264
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 905 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1243 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200500264 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Healthcare, PA | Current | Accepting new patients | |
| Piedmont Healthcare, P.a. | Dermatology | Current | 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
- joelsugarman@phc.allscriptsdirect.net
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Statesville, NC
- NPI 1639041320
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.