STATESVILLE HMA MEDICAL GROUP, LLC (NPI# 1639407737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639407737 |
| Entity Type | Organization |
| Organization Name | STATESVILLE HMA MEDICAL GROUP, LLC |
| Practice Address |
1412 Fern Creek Dr Statesville NC 28625-9376 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 7046604145 |
| Mailing Telephone | 6154657000 |
| Mailing Fax Number | 6156286877 |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | MR. JAMES P WRIGHT (VP PHYSICIAN BUSINESS SERVICES) |
| Authorized Official Telephone | 6157781502 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548544984 | Statesville Hma Medical Group, LLC | Surgery | 1703 Davie Ave, Statesville, NC 28677-3521 | 2011-10-04 |
| 1538443973 | Statesville Hma Medical Group, LLC | Psychiatry & Neurology | 1418 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-10-04 |
| 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 |
1412 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 | 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 |
|---|---|---|---|---|
| 1699300822 | Carolinas Regenerative Medicine, Pllc | Family Medicine | 1661 Davie Ave, Statesville, NC 28677-3519 | 2020-03-09 |
| 1639649510 | Piedmont Healthcare, Pa | Family Medicine | 276 Old Mocksville Rd Ste 400, Statesville, NC 28625-1950 | 2018-12-04 |
| 1407114176 | Urgent Cares of America North Carolina Inc. | Family Medicine | 242 Turnersburg Hwy, Statesville, NC 28625-2797 | 2012-05-01 |
| 1629242490 | Samuel Ekro Inkumsah | Family Medicine | 555 Kitchings Dr Ste D, Statesville, NC 28677-3576 | 2008-04-14 |
| 1487840427 | Iredell Physician Network LLC | Family Medicine | 774 Hartness Rd, Statesville, NC 28677-3376 | 2007-09-24 |
| 1528164324 | Omodele Julie Masha | Family Medicine | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2006-09-16 |
| 1225134166 | Miller Family Practice PC | Family Medicine | 513 Brookdale Drive, Statesville, NC 28677 | 2006-09-16 |
| 1376645549 | Teresa Romzick | Family Medicine | 2341 Simonton Rd, Statesville, NC 28625-8246 | 2006-09-01 |
| 1124046198 | Life Enhancement Medical Services Pllc | Family Medicine | 190 Commerce Blvd, Statesville, NC 28625-8526 | 2006-07-18 |
| 1700855020 | David Wayne Cash | Family Medicine | 310 Davie Ave, Statesville, NC 28677-5319 | 2006-03-17 |
| 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.