Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northlake Pediatric Care PA

Organization Pediatrics Physician · NPI 1083729701

Northlake Pediatric Care PA is a Pediatrics Physician in Statesville, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2117 Simonton Rd Ste 402
Statesville, NC 28625-8206
Phone: (704) 871-2323
Fax: (803) 619-2149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1083729701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Borja — Owner · (704) 871-2323
NPI enumeratedAugust 20, 2006
Last updated in NPPESMay 30, 2013
Mailing address2117 Simonton Rd, Suite 402, Statesville, NC 28625-8206

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