Individual provider Active NPI

Lina Sihamath Ricks, PA-C

  • Physician Assistant
  • Mooresville, NC
National Provider Identifier
1881584381
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-15799 Issued in NC
Practice address
118 Gateway Blvd Ste a
Mooresville, NC 28117-6542
Phone
(704) 230-1302
Fax
(704) 230-1284
NPI assigned
Jul 7, 2025
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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 0010-15799 NC Primary

Addresses

Primary practice location

118 Gateway Blvd Ste a
Mooresville, NC 28117-6542

Mailing address

118 Gateway Blvd Ste a
Mooresville, NC 28117-6542
Phone (704) 230-1302

Other names 1

  • Lina Sihamath Former name

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
I20260202000466 NC Practitioner - Physician Assistant 0840778783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fora Dermatology PLLCGroup PAC ID 6305272543, 6 clinicians

Practice addresses (Care Compare)

118 Gateway Blvd
Suite a
Mooresville, NC 28117-6542
Phone (704) 230-1302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-15799NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fora Dermatology PLLC CurrentSince Dec 27, 2025 Accepting new patients

Locations

118 Gateway Blvd
Ste A
Mooresville, NC 28117
Phone (704) 230-1302

128 Medical Park Rd
Ste 201
Mooresville, NC 28117
Phone (704) 230-1302

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, 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": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1881584381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 GATEWAY BLVD STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176542",
            "telephone_number": "704-230-1302",
            "fax_number": "704-230-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 GATEWAY BLVD STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176542",
            "telephone_number": "704-230-1302",
            "fax_number": "704-230-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS",
        "first_name": "LINA",
        "middle_name": "SIHAMATH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINA",
            "last_name": "SIHAMATH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.