OrganizationActive
Lakeside Dermatology , PA
NPI 1619973054 · Dermatology Physician · Cornelius, NC
Lakeside Dermatology , PA is a Dermatology Physician organization in Cornelius, NC (NPI 1619973054).
Provider details
- NPI number
- 1619973054
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nancy Astle, President/Physician(704) 892-4878
- License
- 9400198 (NC)
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
20 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
19900 W Catawba Ave
Suite B
Cornelius, NC 28031-4032
Phone: (704) 892-4878
Fax: (704) 892-7453
Street-level locationGet directions
Mailing address
19900 W Catawba Ave
Cornelius, NC 28031-4032
Registry dates
- Enumerated
- 2005-06-21
- Last updated
- 2011-03-23
Frequently asked questions
- What is Lakeside Dermatology , PA's NPI number?
- Lakeside Dermatology , PA's National Provider Identifier (NPI) is 1619973054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Dermatology , PA?
- Lakeside Dermatology , PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Dermatology , PA located?
- Lakeside Dermatology , PA's practice location on file with NPPES is 19900 W Catawba Ave, Cornelius, NC 28031-4032.
- What is Lakeside Dermatology , PA's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Dermatology , PA is (704) 892-4878.
- Who is the authorized official for Lakeside Dermatology , PA?
- The authorized official listed on Lakeside Dermatology , PA's NPPES record is Nancy Astle, President/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Dermatology , PA's NPI active?
- Yes — Lakeside Dermatology , PA's NPI (1619973054) is active in the NPPES registry as of the last update on 2011-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.