STATESVILLE HMA MEDICAL GROUP, LLC (NPI# 1538443973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538443973 |
| Entity Type | Organization |
| Organization Name | STATESVILLE HMA MEDICAL GROUP, LLC |
| Other Organization Name | STATESVILLE PSYCHIATRY |
| Practice Address |
1418 Fern Creek Dr Statesville NC 28625-9376 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 7049782194 |
| Practice Fax Number | 7049782195 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2012-11-28 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT, PPM) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Statesville Psychiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548544984 | Statesville Hma Medical Group, LLC | Surgery | 1703 Davie Ave, Statesville, NC 28677-3521 | 2011-10-04 |
| 1639407737 | Statesville Hma Medical Group, LLC | Family Medicine | 1412 Fern Creek Dr, Statesville, NC 28625-9376 | 2009-12-01 |
| 1548796584 | Statesville Hma Medical Group, LLC | Family Medicine | 35 Ruritan Park Rd, Stony Point, NC 28678-8928 | 2017-05-11 |
| 1932476298 | Statesville Hma Medical Group, LLC | Urology | 1410 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-11-30 |
| 1801163167 | Statesville Hma Medical Group, LLC | Family Medicine | 1414 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-11-30 |
| 1497031314 | Statesville Hma Medical Group, LLC | Internal Medicine | 349 Brookdale Dr, Statesville, NC 28677-4103 | 2011-10-24 |
| 1629352679 | Statesville Hma Medical Group, LLC | Orthopaedic Surgery | 340 Signal Hill Dr Ste A, Statesville, NC 28625-4483 | 2011-10-07 |
| 1609150655 | Statesville Hma Medical Group, LLC | Orthopaedic Surgery | 223 Hospital St, Mocksville, NC 27028-2038 | 2011-10-07 |
| 1871877829 | Statesville Hma Medical Group, LLC | Physical Therapist | 375 Hospital St, Suite 200, Mocksville, NC 27028-2086 | 2011-10-07 |
| 1942584990 | Statesville Hma Medical Group, LLC | Orthopaedic Surgery | 305 E Lee Ave, Yadkinville, NC 27055-8132 | 2011-10-07 |
| Street Address |
1418 FERN CREEK DR |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-9376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235312372 | Barium Springs Home for Children | Psychiatry & Neurology | 135 Burroughs Loop, Statesville, NC 28677-6238 | 2007-12-12 |
| 1952420275 | Terence G Snyder | Psychiatry & Neurology | 913 Carolina Ave. N., Statesville, NC 28677 | 2007-03-28 |
| 1013031327 | Behavioral Healthcare & Memory Institute | Psychiatry & Neurology | 215b W Broad St, Statesville, NC 28677-5259 | 2007-03-19 |
| 1295873024 | Prem Kumar Muthu | Psychiatry & Neurology | 215 B West Broad Street, Statesville, NC 28677 | 2007-02-02 |
| 1972604718 | Patricia Kaye Hill | Psychiatry & Neurology | 750 Hartness Rd Ste C, Statesville, NC 28677-3400 | 2006-09-26 |
| 1194168161 | Andrew Venters Owens | Psychiatry & Neurology | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2013-04-09 |
| 1710263256 | Daymark Recovery Services Inc | Psychiatry & Neurology | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2011-10-28 |
| 1740566280 | Daymark Recovery Services Inc | Psychiatry & Neurology | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2011-10-28 |
| 1629212485 | Hill & Edwards PC | Psychiatry & Neurology | 750 Hartness Rd Ste C, Statesville, NC 28677-3400 | 2009-04-23 |
| 1912191560 | Monica Nora Slubicki | Psychiatry & Neurology | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2007-08-28 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
Please comment or provide details below to improve the information on STATESVILLE HMA MEDICAL GROUP, LLC.
| 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.