Individual provider Active NPI

Lamiaa Mohamed Abbas Tolba, PA-C, DMSC, MPAS

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1902220254
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04824 Issued in NC
Practice address
125 Queens Rd Ste 640
Charlotte, NC 28204-3580
Phone
(980) 302-6761
Fax
(980) 302-6762
NPI assigned
Feb 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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 0010-04824 NC Primary

Addresses

Primary practice location

125 Queens Rd Ste 640
Charlotte, NC 28204-3580

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LTOLBA539395@DIRECT.NOVANTHEALTH.ORG

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
I20140521001602 NC Practitioner - Physician Assistant 2668695529 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Charlotte, NC 28204-3580

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-04824NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Rowan Medical Center LLC CurrentSince Jan 1, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince May 24, 2015 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Nov 1, 2015 Accepting new patients
The Presbyterian Hospital CurrentSince Oct 4, 2020 Accepting new patients
The Presbyterian Hospital CurrentSince Oct 4, 2020 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Nov 1, 2015 Accepting new patients
Carolinas Physicians Network Inc CurrentSince May 24, 2015 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

125 Queens Rd
Ste 610
Charlotte, NC 28204
Phone (980) 302-6600

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

125 Queens Rd
Ste 640
Charlotte, NC 28204
Phone (980) 302-6761

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

125 Queens Rd
Ste 600
Charlotte, NC 28204
Phone (980) 302-6600

705 Griffith St
Ste 100
Davidson, NC 28036
Phone (704) 801-7900

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

Interoperability endpoints

  • Direct secure messaging: ltolba539395@direct.novanthealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1902220254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 QUEENS RD STE 640",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043580",
            "telephone_number": "980-302-6761",
            "fax_number": "980-302-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBA",
        "first_name": "LAMIAA",
        "middle_name": "MOHAMED ABBAS",
        "name_prefix": "Dr.",
        "credential": "PA-C, DMSC, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LTOLBA539395@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "125 Queens Rd Ste 640",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.