South Lake Ears Nose & Throat PA
NPI 1154695872 · Otolaryngology Physician · Huntersville, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Lake Ears Nose & Throat PA is a Otolaryngology Physician organization in Huntersville, NC (NPI 1154695872).
Provider details
- NPI number
- 1154695872
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stan Phillips, Owner(704) 896-1909
- License
- 9701107 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-02-27
- Last updated
- 2012-02-27
Frequently asked questions
- What is South Lake Ears Nose & Throat PA's NPI number?
- South Lake Ears Nose & Throat PA's National Provider Identifier (NPI) is 1154695872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Lake Ears Nose & Throat PA?
- South Lake Ears Nose & Throat PA is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is South Lake Ears Nose & Throat PA located?
- South Lake Ears Nose & Throat PA's practice location on file with NPPES is 9710 Sam Furr Rd Unit D, Huntersville, NC 28078-4928.
- What is South Lake Ears Nose & Throat PA's phone number?
- The practice phone number listed in the NPPES registry for South Lake Ears Nose & Throat PA is (704) 896-1909.
- Does South Lake Ears Nose & Throat PA accept Medicare?
- South Lake Ears Nose & Throat PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Lake Ears Nose & Throat PA?
- The authorized official listed on South Lake Ears Nose & Throat PA's NPPES record is Stan Phillips, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Lake Ears Nose & Throat PA's NPI active?
- Yes — South Lake Ears Nose & Throat PA's NPI (1154695872) is active in the NPPES registry as of the last update on 2012-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.