STATESVILLE VASCULAR INSTITUTE
NPI 1184060717
Surgery in Statesville, NC

Active since May 22, 2013
218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625(704) 838-7165(704) 878-2081 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Statesville Vascular Institute NPPES

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

STATESVILLE VASCULAR INSTITUTE (NPI 1184060717) is a healthcare organization registered as a surgery in Statesville, North Carolina and active in the NPI registry since May 2013. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1184060717
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSTATESVILLE HMA MEDICAL GROUP LLC
Location Address218 OLD MOCKSVILLE RDStatesville, NC 28625-1930
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7203
Fax(704) 878-2081
Organization SubpartYes
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateMay 22, 2013
Last NPPES UpdateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
NPI 1184060717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
218 OLD MOCKSVILLE RD, Statesville, NC 28625

Other Names 1

Doing Business AsStatesville Vascular Institute

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

Other Providers at the Same Location NPPES 20

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

Anesthesiology
218 OLD MOCKSVILLE RD, ANESTHESIA DEPT
STATESVILLE, NC 28625
Anesthesiology
218 OLD MOCKSVILLE RD, ANESTHESIA DEPT
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD, DAVIS REGIONAL MEDICAL CENTER
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184060717, enumerated as an "organization" on May 22, 2013.

The provider is located at 218 OLD MOCKSVILLE RD STATESVILLE, NC 28625 and the phone number is (704) 838-7165.

Surgery with taxonomy code 208600000X.