IREDELL URGENT CARE STATESVILLE
NPI 1053018648
Clinic/Center - Urgent Care in Statesville, NC
About Iredell Urgent Care Statesville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IREDELL URGENT CARE STATESVILLE (NPI 1053018648) is a healthcare organization registered as an urgent care in Statesville, North Carolina and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Joanie M Cochran, Credentialing Agent, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Iredell Urgent Care Statesville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
116Medicare enrollment records show 116 clinicians reassign Medicare billing to Iredell Urgent Care Statesville, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 51 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 23
Nearest to this location (20)
See all 116Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2278757
Iredell Urgent Care - Statesville · Statesville, NCFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Iredell Physician Network, LLC's NPI number?
The NPI number for Iredell Physician Network, LLC is 1053018648. It was assigned to this organization in the NPPES registry on February 14, 2023. The provider is doing business as Iredell Urgent Care Statesville.
Where is Iredell Physician Network, LLC located?
Iredell Physician Network, LLC is located at 1540 E Broad St, Statesville, NC 28625. The listed phone number is (704) 878-4542.
What is Iredell Physician Network, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Iredell Physician Network, LLC enrolled in Medicare?
Yes. Iredell Physician Network, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Iredell Physician Network, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 23 Medicare specialties reassign their Medicare billing to Iredell Physician Network, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (39), Nurse Practitioner (29) and Family Practice (10). Of these, 2 practice at this address and 51 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Iredell Physician Network, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2278757) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Iredell Physician Network, LLC was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Iredell Urgent Care Statesville · NPI 1053018648
Urgent Care organization in Statesville, North Carolina. Organization record, active in the CMS NPPES registry since February 14, 2023.
## Identity
- **NPI:** 1053018648 (Entity type: Organization)
- **Enumerated:** February 14, 2023
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Legal business name:** Iredell Physician Network, Llc
- **Organization subpart:** No
- **Authorized official:** Joanie Cochran, CREDENTIALING AGENT
## Practice location
- **Address:** 1540 E BROAD ST, Statesville, NC 28625-4302
- **Phone:** (704) 878-4542
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 116 clinicians in 23 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (39), Nurse Practitioner (29), Family Practice (10); 2 practice at this address and 51 within 10 miles; [full list](https://npiprofile.com/npi/1053018648/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053018648) · Data from the CMS NPPES public registry.