Active NPI
Langtree Endoscopy Center, LLC
- Ambulatory Surgical Clinic/Center
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2178204 | Atrium Health Endoscopy Center - Langtree | Certificate of waiver | Jan 28, 2028 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Charlotte, NC
- NPI 1396886099
Member Of
-
- Orthopaedic Surgery Physician
- Denver, NC
- NPI 1477884302
Member Of
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.
-
- Gastroenterology Physician
- Columbia, SC
- NPI 1902898562
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.