IREDELL PHYSICIAN NETWORK LLC (NPI# 1063584134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063584134 |
| Entity Type | Organization |
| Organization Name | IREDELL PHYSICIAN NETWORK LLC |
| Other Organization Name | FAMILY CARE CENTER OF MOCKSVILLE |
| Practice Address |
101 Wilkesboro St Suite B Mocksville NC 27028-2321 |
| Mailing Address |
Po Box 25867 Winston Salem NC 27114-5867 |
| Practice Telephone | 3367530800 |
| Mailing Telephone | 3367530800 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-05-12 |
| Authorized Official Name | MS. ANNA PURCELL (DIRECTOR) |
| Authorized Official Telephone | 7048784569 |
| Is Organization Subpart | Y |
| Parent Organization Name | IREDELL PHYSICIAN NETWORK LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5911525 | 05 |
| Other Name | Type Code |
|---|---|
| Family Care Center of Mocksville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154609147 | Iredell Physician Network LLC | Internal Medicine | 1714 Davie Ave, Statesville, NC 28677-3522 | 2011-07-26 |
| 1639318751 | Iredell Physician Network LLC | Family Medicine | 955 West Memorial Highway, Harmony, NC 28634-9352 | 2009-02-12 |
| 1780822288 | Iredell Physician Network LLC | Family Medicine | 136 Corporate Park Dr, Suite 3h, Mooresville, NC 28117-6959 | 2009-01-22 |
| 1487840427 | Iredell Physician Network LLC | Family Medicine | 774 Hartness Rd, Statesville, NC 28677-3376 | 2007-09-24 |
| 1578073631 | Iredell Physician Network LLC | Clinic/Center | 707 Bryant St, Statesville, NC 28677-4142 | 2017-10-03 |
| 1497139398 | Iredell Physician Network LLC | Clinic/Center | 3210 Harmony Hwy, Harmony, NC 28634-9161 | 2015-07-10 |
| 1124402946 | Iredell Physician Network LLC | Clinic/Center | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2015-07-10 |
| 1811381593 | Iredell Physician Network LLC | General Practice | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2015-03-20 |
| 1235410960 | Iredell Physician Network LLC | Internal Medicine | 738 Bryant St Ste A, Statesville, NC 28677-4189 | 2011-09-08 |
| 1235433806 | Iredell Physician Network LLC | Internal Medicine | 757 Bryant St, Statesville, NC 28677-4142 | 2010-12-22 |
| Street Address |
101 WILKESBORO ST SUITE B |
| City | MOCKSVILLE |
| State | NC |
| Zip Code | 27028-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881635985 | James H Evans | Family Medicine | 101 Wilkesboro St, Mocksville, NC 27028-2321 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1730649633 | Dawn Michelle Whitsel | Occupational Therapy Assistant | 498 Madison Rd., Mocksville, NC 27028 | 2019-03-25 |
| 1912476391 | Warren Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 189 Gaither St, Mocksville, NC 27028 | 2018-11-15 |
| 1548711385 | Tyler Crane | Nurse Practitioner | 375 Hospital St Ste 200, Mocksville, NC 27028 | 2016-10-17 |
| 1679926042 | Nicholas Martyak | Physical Therapist | 161 Nikkis Way, Mocksville, NC 27028 | 2016-07-20 |
| 1386987790 | Elizabeth Hemmings | Speech-Language Pathologist | 498 Madison Road, Mocksville, NC 27028 | 2013-04-03 |
| 1932421427 | Davie Kidney Center of Wake Forest University | Clinic/Center | 190 Interstate Drive, Mocksville, NC 27028 | 2010-02-24 |
| 1568455707 | Wake Forest University Baptist Medical Center Community Physicians | Pediatrics | 113 Marketplace Drive, Mocksville, NC 27028 | 2005-08-23 |
| 1912485517 | Davie Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 498 Madison Road, Mocksville, NC 27028 | 2018-08-06 |
| 1245747062 | Emma Beneke | Social Worker | 172 S Clement St, Mocksville, NC 27028 | 2018-01-02 |
| Find all providers in zip 27028 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881635985 | James H Evans | Family Medicine | 101 Wilkesboro St, Mocksville, NC 27028-2321 | 2006-06-09 |
| 1396992764 | George Douglas Kimberly | Family Medicine | 210 Hospital St, Mocksville, NC 27028-2039 | 2008-08-27 |
| 1811191109 | Davie Co Emergency Health Corp | Family Medicine | 223 Hospital St, Mocksville, NC 27028-2038 | 2007-06-12 |
| 1881806727 | Christine M Shugart | Family Medicine | 485 Valley Rd, Mocksville, NC 27028-2074 | 2007-05-04 |
| 1275591091 | Forsyth Memorial Hospital Inc | Family Medicine | 485 Valley Rd, Mocksville, NC 27028-2074 | 2006-05-02 |
| 1528027265 | William O Renfroe | Family Medicine | 485 Valley Rd, Mocksville, NC 27028-2074 | 2006-03-21 |
| 1215909353 | William H. Harrison | Family Medicine | 485 Valley Rd, Dba Medical Associates of Davie, Mocksville, NC 27028-2074 | 2006-02-03 |
| 1912977836 | Joel Lynn Edwards | Family Medicine | 485 Valley Rd, Mocksville, NC 27028-2074 | 2006-01-24 |
| 1306821848 | John N Price | Family Medicine | 485 Valley Rd, Mocksville, NC 27028-2074 | 2005-12-07 |
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| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | MOCKSVILLE |
| Zip Code | 27028 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.