John C Nicholson (NPI# 1497723795, PAC ID# 3678644218) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1497723795 |
| PAC ID by PECOS | 3678644218 |
| Professional Enrollment ID | I20080625000372 |
| Full Name | John C Nicholson |
| Organization Legal Name | IREDELL PHYSICIAN NETWORK LLC |
| Address |
728 Hartness Rd Statesville NC 28677-3425 |
| Phone Number | 7042304382 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0749345007 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340039 | IREDELL MEMORIAL HOSPITAL INC |
| 340144 | DAVIS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 728 Hartness Rd, Statesville, NC 28677-3425 | 7042304382 | IREDELL PHYSICIAN NETWORK LLC |
| Organization Legal Name | IREDELL PHYSICIAN NETWORK LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eva Imperial | Family Medicine | Iredell Physician Network LLC | 544 Brawley School Rd, Suite A, Mooresville, NC 28117-9393 |
| Stephanie P Little | Nurse Practitioner | Iredell Physician Network LLC | 1668 Nc Hwy 16 S, Taylorsville, NC 28681-6285 |
| Hannah Fox Hefner | Physician Assistant | Iredell Physician Network LLC | 101 Wilkesboro St B, Mocksville, NC 27028-2321 |
| Christy R Millsaps | Physical Therapy | Iredell Physician Network LLC | 544 Brawley School Rd C, Mooresville, NC 28117-9393 |
| Joseph S Wolyniak | General Practice | Iredell Physician Network LLC | 128 E Plaza Dr, Suite 3, Mooresville, NC 28115-8000 |
| Elmer H Stout Iii | Internal Medicine | Iredell Physician Network LLC | 444 Williamson Rd, Suite B, Mooresville, NC 28117-9248 |
| Ruby A Grimm | Internal Medicine | Iredell Physician Network LLC | 738 Bryant St, Statesville, NC 28677-4189 |
| Kacie M Teeter | Physician Assistant | Iredell Physician Network LLC | 310 Davie Ave, Statesville, NC 28677-5319 |
| Rajal M Patel | Family Practice | Iredell Physician Network LLC | 544 Brawley School Rd A, Mooresville, NC 28117-9393 |
| Malinda S Sherrill | Nurse Practitioner | Iredell Physician Network LLC | 3210 Harmony Hwy, Harmony, NC 28634-9161 |
| Street Address |
728 HARTNESS RD |
| City | STATESVILLE |
| State | NC |
| Zip | 28677-3425 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rick D Bartlett | Optometry | Bartlett Grigsby Boan and Assoc Pllc | 843 N Ctr St, Statesville, NC 28677-3222 |
| Stephen P Rosser | General Surgery | Piedmont Healthcare Pa | 750 Hartness Rd, Suite G, Statesville, NC 28677-3400 |
| Patricia K Hill | Psychiatry | 750 Hartness Rd C, Statesville, NC 28677-3400 | |
| Trishwant S Garcha | Neurology | 750 Hartness Rd, Statesville, NC 28677-3400 | |
| Byron E Dunaway | Orthopedic Surgery | Piedmont Healthcare Pa | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3403 |
| Sherry Repass | Nurse Practitioner | Piedmont Healthcare Pa | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3403 |
| Vivek M Trivedi | Gastroenterology | Piedmont Healthcare Pa | 633 Brookdale Dr, Suite 100, Statesville, NC 28677-3403 |
| Landry B. Schofield | Nurse Practitioner | Piedmont Healthcare Pa | 633 Brookdale Dr, Suite 100, Statesville, NC 28677-3403 |
| Tiedre Palmer | Nurse Practitioner | Piedmont Healthcare Pa | 633 Brookdale Dr, Suite 100, Statesville, NC 28677-3403 |
| Jeanna Bergandine Chapman | Nurse Practitioner | Piedmont Healthcare Pa | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3403 |
| Find all physicians in zip 28677 | |||
| City | STATESVILLE |
| Zip Code | 28677 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | STATESVILLE + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.