STATESVILLE VASCULAR INSTITUTE
NPI 1184060717
Surgery in Statesville, NC

Q: What is Statesville Hma Medical Group LLC's NPI number?

The NPI number for Statesville Hma Medical Group LLC is 1184060717. It was assigned to this organization in the NPPES registry on May 22, 2013. The provider is doing business as Statesville Vascular Institute.

Q: What is Statesville Hma Medical Group LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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: August 09, 2026.

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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

Phone(704) 838-7165

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

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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.

SOUTH SOUND INPATIENT PHYSICIANS, PLLC

Hospitalist