OrganizationActive
South Lake Pediatrics
NPI 1295766079 · Pediatrics Physician · Huntersville, NC
South Lake Pediatrics is a Pediatrics Physician organization in Huntersville, NC (NPI 1295766079).
Provider details
- NPI number
- 1295766079
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- South Lake Pediatrics
- Organization subpart
- Yes
- Authorized official
- Scott Rissmiller, Enterprise Evp(704) 355-8675
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
9625 Northcross Center Ct
Ste 201
Huntersville, NC 28078-7348
Phone: (704) 801-3097
Street-level locationGet directions
Mailing address
Po Box 19305
Charlotte, NC 28219-9305
Other names (DBA / former)
- Doing business as
- Atrium Health Levine Children'S South Lake Pediatrics
- Doing business as
- South Lake Pediatrics
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2023-03-09
Frequently asked questions
- What is South Lake Pediatrics's NPI number?
- South Lake Pediatrics's National Provider Identifier (NPI) is 1295766079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Lake Pediatrics?
- South Lake Pediatrics is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is South Lake Pediatrics located?
- South Lake Pediatrics's practice location on file with NPPES is 9625 Northcross Center Ct, Huntersville, NC 28078-7348.
- What is South Lake Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for South Lake Pediatrics is (704) 801-3097.
- Who is the authorized official for South Lake Pediatrics?
- The authorized official listed on South Lake Pediatrics's NPPES record is Scott Rissmiller, Enterprise Evp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Lake Pediatrics's NPI active?
- Yes — South Lake Pediatrics's NPI (1295766079) is active in the NPPES registry as of the last update on 2023-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.