Lake Norman Plastic Surgery, PLLC
NPI 1720871593 · Plastic Surgery Physician · Huntersville, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Norman Plastic Surgery, PLLC is a Plastic Surgery Physician organization in Huntersville, NC (NPI 1720871593).
Provider details
- NPI number
- 1720871593
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Henry Wilson, Physician Owner(704) 885-0550
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
1 yr 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
- 2025-05-26
- Last updated
- 2025-11-07
- Certified
- 2025-11-07
Frequently asked questions
- What is Lake Norman Plastic Surgery, PLLC's NPI number?
- Lake Norman Plastic Surgery, PLLC's National Provider Identifier (NPI) is 1720871593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Norman Plastic Surgery, PLLC?
- Lake Norman Plastic Surgery, PLLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Norman Plastic Surgery, PLLC located?
- Lake Norman Plastic Surgery, PLLC's practice location on file with NPPES is 9735 Kincey Ave Ste 205, Huntersville, NC 28078-9120.
- What is Lake Norman Plastic Surgery, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Norman Plastic Surgery, PLLC is (704) 885-0550.
- Does Lake Norman Plastic Surgery, PLLC accept Medicare?
- Lake Norman Plastic Surgery, PLLC 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 Lake Norman Plastic Surgery, PLLC?
- The authorized official listed on Lake Norman Plastic Surgery, PLLC's NPPES record is Henry Wilson, Physician Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Norman Plastic Surgery, PLLC's NPI active?
- Yes — Lake Norman Plastic Surgery, PLLC's NPI (1720871593) is active in the NPPES registry as of the last update on 2025-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.