STATESVILLE HMA MEDICAL GROUP, LLC


Address: 1410 Fern Creek Dr, Statesville, NC 28625-9376
Phone: 7049782820

STATESVILLE HMA MEDICAL GROUP, LLC (NPI# 1710261151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710261151
Entity Type Organization
Organization Name STATESVILLE HMA MEDICAL GROUP, LLC
Other Organization Name STATESVILLE OBGYN
Practice Address 1410 Fern Creek Dr
Statesville
NC 28625-9376
Mailing Address 5811 Pelican Bay Blvd
Suite 500
Naples
FL 34108-2733
Practice Telephone 7049782820
Practice Fax Number 7049782934
Mailing Telephone 2395983131
Mailing Fax Number 2395920438
Enumeration Date 2011-10-04
Last Update Date 2014-02-10
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Statesville OBGYN Doing Business As Name - Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 1410 FERN CREEK DR
City STATESVILLE
State NC
Zip Code 28625-9376

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700112612 Uma Periyanayagam Pediatrics 1410 Fern Creek Dr, Statesville, NC 28625-9376 2009-10-28
1730551714 Statesville Hma Medical Group LLC Pediatrics 1410 Fern Creek Dr, Statesville, NC 28625-9376 2015-10-29
1902151152 Ali Nasir Chhotani Pediatrics 1410 Fern Creek Dr, Statesville, NC 28625-9376 2012-07-13
1336403211 Tara Moon Pediatrics 1410 Fern Creek Dr, Statesville, NC 28625-9376 2012-06-26
1932476298 Statesville Hma Medical Group, LLC Urology 1410 Fern Creek Dr, Statesville, NC 28625-9376 2011-11-30

Providers in the same zip code

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 Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275069858 Statesville Hma Medical Group LLC Obstetrics & Gynecology 555 Kitchings Dr, Statesville, NC 28677-3576 2017-05-03
1881673838 Roshnara Singh Obstetrics & Gynecology 1804 Davie Ave, Statesville, NC 28677-3524 2006-01-10
1871588962 Walter V Meadors Jr. Obstetrics & Gynecology 1669 Davie Ave, Statesville, NC 28677-3519 2005-09-14
1316939036 Michael Avery Kepley Obstetrics & Gynecology 1446 Fern Creek Dr, Statesville, NC 28625-9376 2005-08-18
1538653449 Piedmont Healthcare, P.a. Obstetrics & Gynecology 1804 Davie Ave, Statesville, NC 28677-3524 2018-06-15
1265844211 Ariel Jaleigh Ansley Obstetrics & Gynecology 1804 Davie Ave, Statesville, NC 28677 2014-05-27
1710301437 Compassionate Women's Healthcare Obstetrics & Gynecology 1420 Fern Creek Dr, Statesville, NC 28625-9376 2014-02-17
1114293172 Margot Wacks Obstetrics & Gynecology 1804 Davie Ave, Statesville, NC 28677-3524 2012-03-23
1558666362 Laura Randolph Obstetrics & Gynecology 1804 Davie Ave, Statesville, NC 28677-3524 2011-01-26
1508977927 Mary E Torres Obstetrics & Gynecology 1804 Davie Ave, Statesville, NC 28677-3524 2006-08-31
Find all providers in STATESVILLE

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City STATESVILLE
Zip Code 28625

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Dataset Information

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.

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