Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Northlake Pediatric Care PA

Organization Pediatrics Physician · NPI 1083729701

Northlake Pediatric Care PA provides Pediatrics Physician services in Statesville, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2117 Simonton Rd Ste 402
Statesville, NC 28625-8206 Not confirmed with CMS for 13 years — call before visiting
Phone: (704) 871-2323
Fax: (803) 619-2149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1083729701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Borja — Owner · (704) 871-2323
NPI enumeratedAugust 20, 2006
Last updated in NPPESMay 30, 2013
Mailing address2117 Simonton Rd, Suite 402, Statesville, NC 28625-8206

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