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

South Lake Pediatrics

Organization Pediatrics Physician · NPI 1295766079

South Lake Pediatrics is a Pediatrics Physician in Huntersville, North Carolina. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

9625 Northcross Center Ct Ste 201
Huntersville, NC 28078-7348
Phone: (704) 801-3097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1295766079
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouth Lake Pediatrics
Authorized official Scott Rissmiller — Enterprise Evp · (704) 355-8675
Other names Atrium Health Levine Children'S South Lake Pediatrics; South Lake Pediatrics
NPI enumeratedJuly 6, 2006
Last updated in NPPESMarch 9, 2023
Mailing addressPo Box 19305, Charlotte, NC 28219-9305

Other providers in Huntersville