Organization Active NPI

Langtree Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Mooresville, NC
National Provider Identifier
1982178042
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LANGTREE ENDOSCOPY CENTER, LLC
Practice address
106 Alexander Bank Drive
Suite 101
Mooresville, NC 28117
Phone
(704) 660-2651
Fax
(704) 663-6521
NPI assigned
Jan 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Scott J. Moroney
Title
President
Phone
(704) 355-9320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

106 Alexander Bank Drive
Suite 101
Mooresville, NC 28117

Mailing address

106 Alexander Bank Dr Ste 101
Mooresville, NC 28117-9624
Phone (704) 660-2651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191115002409 NC Part B Supplier - Ambulatory Surgical Center 0143652925 Practice locations: Mooresville, NC

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Langtree Endoscopy CenterCCN 34C0001211
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2178204Atrium Health Endoscopy Center - Langtree106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117Certificate of waiverJan 28, 2028

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

106 Alexander Bank Dr
Ste 101
Mooresville, NC 28117
Phone (704) 660-2651

309 Alcove Rd
Mooresville, NC 28117
Phone (704) 660-4055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1982178042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ALEXANDER BANK DR STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179624",
            "telephone_number": "704-660-2651",
            "fax_number": "704-663-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ALEXANDER BANK DRIVE",
            "address_2": "SUITE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-660-2651",
            "fax_number": "704-663-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGTREE ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2025-05-19",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "MORONEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-355-9320"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.