Iredell Physician Network, LLC
NPI 1114704558ActiveOrganization· Internal Medicine· Statesville, NC
Internal Medicine in Statesville, North Carolina, registered in NPPES in September 2023, part of Iredell Physician Network, LLC. The authorized official on file is Joanie M. Cochran, Credentialing.
Overview
| NPI | 1114704558 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Iredell Physician Network, LLC |
| NPI issued | Sep 11, 2023 |
| Last updated in NPPES | Oct 1, 2024 |
| Certified by provider | Oct 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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