Iredell Physician Network LLC
NPI 1811381593 · General Practice Physician · Statesville, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Iredell Physician Network LLC is a General Practice Physician organization in Statesville, NC (NPI 1811381593).
Provider details
- NPI number
- 1811381593
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carla Johnson, Director of Operations(980) 434-3803
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
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
Additional practice locations (4)
- 114 Gateway Blvd Ste BMooresville, NC 28117-5598Phone: (980) 435-0406Fax: (980) 435-0409
- 728 Hartness RdStatesville, NC 28677-3425Phone: (704) 230-4382Fax: (704) 253-4085
- 766 Hartness Rd Ste aStatesville, NC 28677-3485Phone: (704) 380-3620Fax: (704) 380-3623
- 557 Brookdale DrStatesville, NC 28677-4107Phone: (704) 873-5661
Registry dates
- Enumerated
- 2015-03-20
- Last updated
- 2021-10-07
- Certified
- 2021-10-07
Frequently asked questions
- What is Iredell Physician Network LLC's NPI number?
- Iredell Physician Network LLC's National Provider Identifier (NPI) is 1811381593, 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 General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Iredell Physician Network LLC located?
- Iredell Physician Network LLC's practice location on file with NPPES is 766 Hartness Rd, Statesville, NC 28677-3479.
- 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) 883-3378.
- Does Iredell Physician Network LLC accept Medicare?
- Iredell Physician Network LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1811381593) is active in the NPPES registry as of the last update on 2021-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.