Kenneth Douglas Lake, PA-C
Physician Assistant · Asheboro, NC
Kenneth Douglas Lake, PA-C is a physician assistant with a practice address in Asheboro, North Carolina, and NPI 1518981927, issued on Jul 27, 2006. Check the license (North Carolina 101208, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kenneth Douglas Lake
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 101208 NC
Self-reported in NPPES; status is on the state search - Practice location
- 300 Mack RD, Asheboro, NC 27205
- Phone
- (336) 625-1172
- Enumerated
- Jul 27, 2006
- Record last updated
- Feb 4, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (336) 625-6434
- Medicaid ID
- 1518981927 NC
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 9,279 in North Carolina → Look up another NPI →
Also registered at 300 Mack RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Susan Fuller, DNP, NPNurse Practitioner1013082288
- Jenna Hedrick, FNP-CFamily Nurse Practitioner1265773709
- Jacqueline King, FNP-CFamily Nurse Practitioner1184230401
Verify Kenneth Douglas Lake in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 101208Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $25.00
1 payment: food and beverage; the largest payer was Abiomed. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Kenneth Douglas Lake among 9,279 physician assistant records in North Carolina
Kenneth Douglas Lake, PA-C is one of 9,279 physician assistant records with a practice address in North Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.
- NPI issued2006 · 4% of these records are older, 80% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileNo · 69% of these records are
- Record last updated2019 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
40 physician assistant records list a practice address in Asheboro
They are 40 of the 716 NPPES records with a practice address in Asheboro, and 9,279 physician assistant records in North Carolina.
All 9,279 in North Carolina → Every provider in Asheboro → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Jacob Rothfuss, PAAsheboro, NC 272051073332631
- Brian Conrad, PA-CAsheboro, NC 272031013505163
- Brady CraftAsheboro, NC 272031174041867
- Robert CurrenceAsheboro, NC 272031326550484
- James GriffinAsheboro, NC 272031295401545
- Olivia HewettAsheboro, NC 272031922839109
- Emily Holloway, PA-CAsheboro, NC 272031780200881
- Frank Houston, PA-CAsheboro, NC 272031598277691
Common questions
What is Kenneth Douglas Lake, PA-C's NPI number?
Kenneth Douglas Lake, PA-C's National Provider Identifier (NPI) is 1518981927, issued on Jul 27, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth Douglas Lake, PA-C located?
The NPPES record lists a practice address at 300 Mack RD, Asheboro, NC, 27205. Phone: (336) 625-1172. Providers update this record themselves, so call before visiting.
How can I verify Kenneth Douglas Lake, PA-C's license?
NPPES lists North Carolina license number 101208, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.