Iredell Physician Network LLC
NPI 1053360180 · Family Medicine Physician · Statesville, NC
Iredell Physician Network LLC is a Family Medicine Physician organization in Statesville, NC (NPI 1053360180).
Provider details
- NPI number
- 1053360180
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Iredell Physician Network LLC
- Organization subpart
- Yes
- Authorized official
- Carla Johnson, Director of Operations(704) 873-5661
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Statesville Family Practice
- Doing business as
- Statesville Family Practice
Registry dates
- Enumerated
- 2006-05-08
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Frequently asked questions
- What is Iredell Physician Network LLC's NPI number?
- Iredell Physician Network LLC's National Provider Identifier (NPI) is 1053360180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Iredell Physician Network LLC?
- Iredell Physician Network LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Iredell Physician Network LLC located?
- Iredell Physician Network LLC's practice location on file with NPPES is 310 Davie Ave, Statesville, NC 28677-5319.
- What is Iredell Physician Network LLC's phone number?
- The practice phone number listed in the NPPES registry for Iredell Physician Network LLC is (704) 873-3269.
- Who is the authorized official for Iredell Physician Network LLC?
- The authorized official listed on Iredell Physician Network LLC's NPPES record is Carla Johnson, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Iredell Physician Network LLC's NPI active?
- Yes — Iredell Physician Network LLC's NPI (1053360180) is active in the NPPES registry as of the last update on 2024-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.