OrganizationActive
South Lake Pediatrics
NPI 1619203791 · Pediatrics Physician · Charlotte, NC
South Lake Pediatrics is a Pediatrics Physician organization in Charlotte, NC (NPI 1619203791).
Provider details
- NPI number
- 1619203791
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- South Lake Pediatrics
- Organization subpart
- Yes
- Authorized official
- Thomas Laymon, Senior Vice President(704) 446-8250
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
9908 Couloak Dr
Ste 103
Charlotte, NC 28216-8678
Phone: (704) 801-2025
Street-level locationGet directions
Mailing address
Po Box 19305
Charlotte, NC 28219-9305
Other names (DBA / former)
- Doing business as
- South Lake Pediatrics
- Doing business as
- South Lake Pediatrics
Registry dates
- Enumerated
- 2009-10-26
- Last updated
- 2020-07-16
Frequently asked questions
- What is South Lake Pediatrics's NPI number?
- South Lake Pediatrics's National Provider Identifier (NPI) is 1619203791, 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 9908 Couloak Dr, Charlotte, NC 28216-8678.
- What is South Lake Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for South Lake Pediatrics is (704) 801-2025.
- Who is the authorized official for South Lake Pediatrics?
- The authorized official listed on South Lake Pediatrics's NPPES record is Thomas Laymon, Senior Vice President. 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 (1619203791) is active in the NPPES registry as of the last update on 2020-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.