OrganizationActive
South Iredell Internal Medicine, PA
NPI 1952402364 · Specialist · Mooresville, NC
South Iredell Internal Medicine, PA is a Specialist organization in Mooresville, NC (NPI 1952402364).
Provider details
- NPI number
- 1952402364
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Brian Blackburn, President(704) 664-5131
- License
- 29531 (NC)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
146 Medical Park Rd Ste 106
Mooresville, NC 28117-8529
Phone: (704) 664-5131
Fax: (704) 664-7547
Approximate (ZIP-level) locationGet directions
Mailing address
146 Medical Park Rd Ste 106
Mooresville, NC 28117-8529
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2016-05-19
Frequently asked questions
- What is South Iredell Internal Medicine, PA's NPI number?
- South Iredell Internal Medicine, PA's National Provider Identifier (NPI) is 1952402364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Iredell Internal Medicine, PA?
- South Iredell Internal Medicine, PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is South Iredell Internal Medicine, PA located?
- South Iredell Internal Medicine, PA's practice location on file with NPPES is 146 Medical Park Rd Ste 106, Mooresville, NC 28117-8529.
- What is South Iredell Internal Medicine, PA's phone number?
- The practice phone number listed in the NPPES registry for South Iredell Internal Medicine, PA is (704) 664-5131.
- Who is the authorized official for South Iredell Internal Medicine, PA?
- The authorized official listed on South Iredell Internal Medicine, PA's NPPES record is Brian Blackburn, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Iredell Internal Medicine, PA's NPI active?
- Yes — South Iredell Internal Medicine, PA's NPI (1952402364) is active in the NPPES registry as of the last update on 2016-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.