Iredell Physician Network LLC
NPI 1811381593ActiveOrganization· General Practice· Statesville, NC
General Practice in Statesville, North Carolina, registered in NPPES in March 2015. The authorized official on file is Carla D. Johnson, Director Of Operations. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811381593 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2015 |
| Last updated in NPPES | Oct 7, 2021 |
| Certified by provider | Oct 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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