Summer Lackey, PA
Summer Lackey, PA is a Physician Assistant in Statesville, NC, registered under NPI 1003514456.
Getting there
Here is what surrounds this office in Statesville, based on OpenStreetMap data collected Oct 2, 2026. Parking is available about 680 ft away. There is EV charging 0.32 mi from the office — useful if you are driving in from out of town. A pharmacy sits 0.35 mi from the entrance (CVS Pharmacy), which helps if you leave with a prescription.
Getting here and what is nearby
Hotel Days Inn 98 ft ~1 min
Hotel Sleep Inn 630 ft ~3 min
Hotel Holiday Inn Express & Suites Statesville 702 ft ~3 min
Parking 680 ft ~3 min
Gas station Kangaroo Express 886 ft ~4 min
Restaurant Chili's 0.21 mi ~5 min
149 Turnersburg Highway, Statesville 28625
Gas station Ingles 0.24 mi ~5 min
Restaurant Wendy's 0.26 mi ~6 min
159 Turnersburg Highway, Statesville 28625
Mo-Th 08:00-22:00; Fr-Sa 08:00-23:00; Su 08:00-22:00
Restaurant Zaxby's 0.29 mi ~6 min
169 Turnersburg Highway, Statesville 28625
Mo-Th 10:00-23:00; Fr-Sa 10:00-00:00; Su 10:00-23:00
Grocery Ingles 0.29 mi ~6 min
EV charging 0.32 mi ~7 min
Pharmacy CVS Pharmacy 0.35 mi ~8 min
Grocery ALDI 0.52 mi ~11 min
125 North Pointe Boulevard, Statesville 28625
Mo-Su 09:00-20:00
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0010-12966 | NC | Physician Assistant primary |
This provider holds licence 0010-12966 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 4789059593
- Enrollment ID
- I20230410001658
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Physician Assistant covers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. NUCC Health Care Provider Taxonomy, code 363A00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003514456 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 15, 2023 |
| Last updated | Mar 27, 2023 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | PA |
| Practice address |
705 GAITHER RD Statesville, NC 28625 (704) 871-1155 Fax (704) 872-2484 |
| Mailing address |
PO BOX 1845 Statesville, NC 28687 |
| Other identifiers |
0010-12966
· Other (NC) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 5 | 1 | 4 | 4 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 1 | 1 | 8 | 4 | 1 |
Sum = 44 · next multiple of 10 = 50 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.