NPIMap

Organization Active NPI

Novant Health Lake Norman Medical Center, LLC

Doing business as Novant Health Lake Norman Medical Center

  • General Acute Care Hospital
  • Mooresville, NC
National Provider Identifier
1720835408
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
NOVANT HEALTH LAKE NORMAN MEDICAL CENTER, LLC
Doing business as
Novant Health Lake Norman Medical Center
Practice address
171 Fairview Rd
Mooresville, NC 28117-9500
Phone
(704) 660-4010
NPI assigned
May 1, 2024
Last updated
May 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Authorized official

Name
Saad Ehtisham, PRESIDENT NOVANT HEA
Title
SVP & President Nhpmc & GCM
Phone
(704) 384-9656

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

171 Fairview Rd
Mooresville, NC 28117-9500

Mailing address

101 N Cherry St Ste 600
Winston Salem, NC 27101-4013
Phone (336) 277-1604

Other names 1

  • NOVANT HEALTH LAKE NORMAN MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Novant Health Enterprises Imaging LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1720835408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N CHERRY ST STE 600",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014013",
            "telephone_number": "336-277-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 FAIRVIEW RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179500",
            "telephone_number": "704-660-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH LAKE NORMAN MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A",
        "authorized_official_last_name": "EHTISHAM",
        "authorized_official_first_name": "SAAD",
        "authorized_official_title_or_position": "SVP & PRESIDENT NHPMC & GCM",
        "authorized_official_telephone_number": "704-384-9656",
        "authorized_official_credential": "PRESIDENT NOVANT HEA"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVANT HEALTH LAKE NORMAN MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.