Statesville Hma Medical Group LLC
NPI 1184060717 · Surgery Physician · Statesville, NC
Statesville Hma Medical Group LLC is a Surgery Physician organization in Statesville, NC (NPI 1184060717).
Provider details
- NPI number
- 1184060717
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Statesville Hma Medical Group LLC
- Organization subpart
- Yes
- Authorized official
- Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding(615) 465-3334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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 Vascular Institute
- Doing business as
- Statesville Vascular Institute
Registry dates
- Enumerated
- 2013-05-22
- Last updated
- 2022-01-14
- Certified
- 2022-01-14
Frequently asked questions
- What is Statesville Hma Medical Group LLC's NPI number?
- Statesville Hma Medical Group LLC's National Provider Identifier (NPI) is 1184060717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Statesville Hma Medical Group LLC?
- Statesville Hma Medical Group LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Statesville Hma Medical Group LLC located?
- Statesville Hma Medical Group LLC's practice location on file with NPPES is 218 Old Mocksville Rd, Statesville, NC 28625-1930.
- What is Statesville Hma Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Statesville Hma Medical Group LLC is (704) 838-7165.
- Who is the authorized official for Statesville Hma Medical Group LLC?
- The authorized official listed on Statesville Hma Medical Group LLC's NPPES record is Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Statesville Hma Medical Group LLC's NPI active?
- Yes — Statesville Hma Medical Group LLC's NPI (1184060717) is active in the NPPES registry as of the last update on 2022-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.