Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIFE ENHANCEMENT MEDICAL SERVICES PLLC
NPI 1124046198
Psychiatry & Neurology - Addiction Medicine in Statesville, NC

Active since July 18, 2006
2632 FINES CREEK DR, STATESVILLE, NC 28625(704) 880-8665(704) 838-0565 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Life Enhancement Medical Services Pllc NPPES

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

LIFE ENHANCEMENT MEDICAL SERVICES PLLC (NPI 1124046198) is a healthcare organization registered as an addiction medicine in Statesville, North Carolina and active in the NPI registry since July 2006. The organization lists Richard Pavelock, Owner, as its authorized official.

NPPES Registry Identity

NPI1124046198
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameLIFE ENHANCEMENT MEDICAL SERVICES PLLC
Location Address2632 FINES CREEK DRStatesville, NC 28625-4441
Mailing Address2632 Fines Creek DrStatesville, NC 28625-4441 · (704) 838-0516 · Fax (704) 838-0565
Fax(704) 838-0565
Organization SubpartNo
Authorized OfficialRichard PavelockOwner · (704) 838-0516
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
NPI 1124046198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
2632 FINES CREEK DR, Statesville, NC 28625

Other Identifiers 1

Medicaid5904288NC

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

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Addiction Medicine)
2632 FINES CREEK DR
STATESVILLE, NC 28625
General Practice
2632 FINES CREEK DR
STATESVILLE, NC 28625
Nurse Practitioner (Family)
2632 FINES CREEK DR
STATESVILLE, NC 28625

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 Life Enhancement Medical Services PLLC's NPI number?

The NPI number for Life Enhancement Medical Services PLLC is 1124046198. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Life Enhancement Medical Services PLLC located?

Life Enhancement Medical Services PLLC is located at 2632 Fines Creek Dr, Statesville, NC 28625. The listed phone number is (704) 880-8665.

What is Life Enhancement Medical Services PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

What insurance does Life Enhancement Medical Services PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Life Enhancement Medical Services PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Enhancement Medical Services PLLC was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.