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STOUT INTERNAL MEDICINE & WELLNESS
NPI 1093105942
Internal Medicine in Mooresville, NC

Active since January 30, 2015CLIA Certified · 3 labs
544 BRAWLEY SCHOOL RD, SUITE C, MOORESVILLE, NC 28117(704) 360-9310 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Stout Internal Medicine & Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STOUT INTERNAL MEDICINE & WELLNESS (NPI 1093105942) is a healthcare organization registered as an internal medicine in Mooresville, North Carolina and active in the NPI registry since January 2015. The organization holds 3 active CLIA laboratory certificates and lists Skip Smith, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093105942
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIREDELL PHYSICIAN NETWORK
Location Address544 BRAWLEY SCHOOL RD, SUITE CMooresville, NC 28117-9392
Mailing Address544 Brawley School Rd, Suite CMooresville, NC 28117-9392 · (704) 360-9310
Phone(704) 360-9310
Organization SubpartNo
Authorized OfficialSkip SmithCfo · (704) 495-3162
Enumeration DateJanuary 30, 2015
✔ NPI 1093105942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
544 BRAWLEY SCHOOL RD, Mooresville, NC 28117
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Other Names 1

Doing Business AsStout Internal Medicine & Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 34D2126481

Craftmaster Plant 4 Dba Iredell Physician Network · Hiddenite, NC
Active · expires Feb 27, 2027
CLIA Number34D2126481
Laboratory TypeIndustrial
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorJonathan P. Goodnight
Laboratory Phone(704) 495-3162
Laboratory LocationCraftmaster Plant 4 Dba Iredell Physician Network850 Sharpe Lane, Hiddenite, NC 28636
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2126483

Hancock & Moore Plant 1 Dba Iredell Physician Network · Taylorsville, NC
Active · expires Feb 27, 2027
CLIA Number34D2126483
Laboratory TypeIndustrial
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorJonathan P. Goodnight
Laboratory Phone(704) 495-3162
Laboratory LocationHancock & Moore Plant 1 Dba Iredell Physician Network166 Hancock & Moore Lane, Taylorsville, NC 28681
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2090240

Stout Internal Medicine And Wellness · Mooresville, NC
Active · expires Jan 19, 2027
CLIA Number34D2090240
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorElmer Stout
Laboratory Phone(704) 360-9310
Laboratory LocationStout Internal Medicine And Wellness653 Bluefield Rd Suite I, Mooresville, NC 28117
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIE D. SMITH ARNP
Nurse Practitioner (Family)
544 BRAWLEY SCHOOL RD, STE A
MOORESVILLE, NC 28117
Iredell County (606) 573-4440
CHRISTIAN FINN SORENSEN M.D.
Family Medicine
544 BRAWLEY SCHOOL RD
MOORESVILLE, NC 28117
Iredell County (704) 360-5190

Frequently 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's NPI number?

The NPI number for Iredell Physician Network is 1093105942. It was assigned to this organization in the NPPES registry on January 30, 2015. The provider is doing business as Stout Internal Medicine & Wellness.

Where is Iredell Physician Network located?

Iredell Physician Network is located at 544 Brawley School Rd Suite C, Mooresville, NC 28117. The listed phone number is (704) 360-9310.

What is Iredell Physician Network's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Iredell Physician Network hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Iredell Physician Network was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.