IREDELL PHYSICIAN NETWORK (NPI# 1780061424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780061424 |
| Entity Type | Organization |
| Organization Name | IREDELL PHYSICIAN NETWORK |
| Other Organization Name | IREDELL OCCUPATIONAL MEDICINE |
| Practice Address |
128 E Plaza Dr Unit 3 Mooresville NC 28115-8000 |
| Practice Telephone | 7044442630 |
| Practice Fax Number | 7044442631 |
| Mailing Telephone | 7044442630 |
| Mailing Fax Number | 7044442631 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | CARLA D JOHNSON (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7044953162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Iredell Occupational Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023402732 | Iredell Physician Network | Neurological Surgery | 774 Hartness Rd, Statesville, NC 28677-3376 | 2015-03-20 |
| 1750775466 | Iredell Physician Network | Family Medicine | 544 Brawley School Rd, Suite C, Mooresville, NC 28117-9392 | 2015-03-20 |
| 1093105942 | Iredell Physician Network | Internal Medicine | 544 Brawley School Rd, Suite C, Mooresville, NC 28117-9392 | 2015-01-30 |
| Street Address |
128 E PLAZA DR UNIT 3 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063499457 | Robert James Leslie | Chiropractor | 128 E Plaza Dr, Mooresville, NC 28115-8000 | 2005-12-27 |
| 1558578435 | Laura L. Grier, Dds, Pa | Dentist | 128 E Plaza Dr, Suite 1 & 2, Mooresville, NC 28115-8000 | 2007-05-17 |
| 1902968423 | Leslie Chiropractic | Chiropractor | 128 E Plaza Dr, Mooresville, NC 28115-8000 | 2006-12-14 |
| 1679635106 | Nicole Tomlinson Vanness | Specialist/Technologist | 128 E Plaza Dr, Mooresville, NC 28115-8000 | 2006-12-14 |
| 1972673077 | Pain & Rehab Institute, Pa | Physical Medicine & Rehabilitation | 128 E Plaza Dr, Mooresville, NC 28115-8000 | 2006-11-08 |
| 1477658086 | David Reid Hill | Physical Therapist | 128 E Plaza Dr, Mooresville, NC 28115-8000 | 2006-09-14 |
| 1104898261 | Laura L. Grier | Dentist | 128 E Plaza Dr, Suite 1 & 2, Mooresville, NC 28115-8000 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| Find all providers in zip 28115 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336360346 | Advanced Integrative Medicine | General Practice | 570 Williamson Road, Suite C, Mooresville, NC 28117 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396059 | Healthworks Med Group of North Carolina P C | General Practice | 200 W 2nd St Fl 2, Winston Salem, NC 27101-4019 | 2020-08-11 |
| 1679184055 | Healthworks Med Group of North Carolina P C | General Practice | 2320 Cascade Pointe Blvd, Charlotte, NC 28208-7203 | 2020-08-11 |
| 1396356606 | Healthworks Med Group of North Carolina P C | General Practice | 3200 Beechleaf Ct Ste 200, Raleigh, NC 27604-1063 | 2020-08-11 |
| 1194336594 | Healthworks Med Group of North Carolina P C | General Practice | 7701 Airport Center Dr Fl 2, Greensboro, NC 27409-9047 | 2020-08-11 |
| 1801407150 | Healthworks Med Group of North Carolina P C | General Practice | 2586 James B White Hwy N Bldg A, Whiteville, NC 28472-8974 | 2020-08-11 |
| 1467099127 | Carolina Acute Care & Wellness Center, Pa | General Practice | 2601 N Elm St Ste A, Lumberton, NC 28358-3063 | 2019-12-02 |
| 1053953125 | Emergent Life Integrative Medicine Center, Inc | General Practice | 5104 Reagan Drive, Suite 4, Charlotte, NC 28206-1392 | 2019-10-10 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1972161503 | Shanda Nicole Felton | General Practice | 8 Durbin Pl, Durham, NC 27705-6127 | 2019-05-29 |
| 1437613171 | Sme South Carolina P.C. | General Practice | 212 Cape August Pl, Belmont, NC 28012-6768 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
Please comment or provide details below to improve the information on IREDELL PHYSICIAN NETWORK.
| 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.