Mark J Devries (NPI# 1679507164, PAC ID# 8022053313) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1679507164 |
| PAC ID by PECOS | 8022053313 |
| Professional Enrollment ID | I20050627001293 |
| Full Name | Mark J Devries |
| Organization Legal Name | IREDELL PHYSICIAN NETWORK LLC |
| Address |
544 Brawley School Rd A Mooresville NC 28117-9393 |
| Phone Number | 7043605190 |
| Gender | M |
| Credential | MD |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0749345007 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340116 | FRYE REGIONAL MEDICAL CENTER |
| 340039 | IREDELL MEMORIAL HOSPITAL INC |
| 340143 | CATAWBA VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 544 Brawley School Rd A, Mooresville, NC 28117-9393 | 7043605190 | IREDELL PHYSICIAN NETWORK LLC |
| 544 Brawley School Rd B, Mooresville, NC 28117-9393 | 7046580956 | IREDELL PHYSICIAN NETWORK LLC |
| 544 Brawley School Rd C, Mooresville, NC 28117-9393 | IREDELL PHYSICIAN NETWORK LLC | |
| 1668 Nc Hwy 16 S, Taylorsville, NC 28681-6285 | 7043605190 | 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 |
| John C Nicholson | Internal Medicine | Iredell Physician Network LLC | 728 Hartness Rd, Statesville, NC 28677-3425 |
| Street Address |
544 BRAWLEY SCHOOL RD A |
| City | MOORESVILLE |
| State | NC |
| Zip | 28117-9393 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajal M Patel | Family Practice | Iredell Physician Network LLC | 544 Brawley School Rd A, Mooresville, NC 28117-9393 |
| Ann Smyth Horton | Physician Assistant | Iredell Physician Network LLC | 544 Brawley School Rd A, Mooresville, NC 28117-9393 |
| Jill M Devries | Family Practice | Iredell Physician Network LLC | 544 Brawley School Rd A, Mooresville, NC 28117-9393 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven G Folstad | Emergency Medicine | Carolina Vein Associates Pllc | 206 Joe V Knox Ave H, Mooresville, NC 28117 |
| Paul C Davis | Chiropractic | 514 Williamson Rd, Suite 411, Mooresville, NC 28117-3382 | |
| Gregory Ott | Physical Therapy | Greg Otts Center for Physical Therapy and Sports Performance LLC | 156 Byers Creek Rd, Mooresville, NC 28117-4376 |
| Heather J Osborne | Physical Therapy | Greg Otts Center for Physical Therapy and Sports Performance LLC | 156 Byers Creek Rd, Mooresville, NC 28117-4376 |
| Robert C Monson Iii | Optometry | 125 Commerce Park Rd, Suite 103, Mooresville, NC 28117-4818 | |
| Nancy E Deem | Nurse Practitioner | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Monica L Webb | Physician Assistant | Mooresville Ppm LLC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Rebecca M Panuski | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Bruce S Mather | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Elisabeth E Stoffel | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Find all physicians in zip 28117 | |||
| City | MOORESVILLE |
| Zip Code | 28117 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MOORESVILLE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Mark J Devries.
| 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.