Statesville Hma Medical Group, LLC
NPI 1497031314ActiveOrganization· Internal Medicine, Cardiovascular Disease· Statesville, NC
Internal Medicine, Cardiovascular Disease in Statesville, North Carolina, registered in NPPES in October 2011, part of Statesville Hma Medical Group LLC. The authorized official on file is Jennifer L. Jackson, Sr Dir Prov Enrollment & Onboarding.
Overview
| NPI | 1497031314 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Statesville Hma Medical Group LLC |
| NPI issued | Oct 24, 2011 |
| Last updated in NPPES | Jan 14, 2022 |
| Certified by provider | Jan 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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