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STATESVILLE CARDIOVASCULAR CLINIC
NPI 1235410960
Internal Medicine - Cardiovascular Disease in Statesville, NC

Active since September 08, 2011CLIA 34D0897936 · Waiver
738 BRYANT ST STE A, STATESVILLE, NC 28677(704) 873-1189(704) 873-1116 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Statesville Cardiovascular Clinic NPPES

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

STATESVILLE CARDIOVASCULAR CLINIC (NPI 1235410960) is a healthcare organization registered as a cardiovascular disease in Statesville, North Carolina and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Kathryn Heles, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1235410960
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameIREDELL PHYSICIAN NETWORK LLC
Location Address738 BRYANT ST STE AStatesville, NC 28677-4189
Mailing AddressPo Box 896199Charlotte, NC 28289-6199 · (833) 936-1364 · Fax (605) 942-7505
Phone(704) 873-1189
Fax(704) 873-1116
Organization SubpartYes
Authorized OfficialKathryn HelesCredentialing · (866) 340-0396
Enumeration DateSeptember 8, 2011
Last NPPES UpdateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1235410960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
738 BRYANT ST STE A, Statesville, NC 28677
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Other Names 1

Doing Business AsStatesville Cardiovascular Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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 34D0897936

Statesville Cardiovascular Clinic PA · Statesville, NC
Active · expires Oct 11, 2027
CLIA Number34D0897936
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorNaim Bouhussein
Laboratory Phone(704) 873-1189
Laboratory LocationStatesville Cardiovascular Clinic PA738 A Bryant St, Suite A, Statesville, NC 28677
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

JILL SUZANNE CALHOUN PA-C
Physician Assistant
738 BRYANT ST STE A
STATESVILLE, NC 28677
Iredell County (704) 873-1189
MRS. MARYNA RUDENKO YACINTHE FNP
Nurse Practitioner (Family)
738 BRYANT ST STE A
STATESVILLE, NC 28677
Iredell County (704) 873-1116
MRS. VICTORIA LEIGH HUDGINS PA-C
Physician Assistant (Medical)
738 BRYANT ST STE A
STATESVILLE, NC 28677
Iredell County (704) 873-5658
BRADLEY A MARTIN M.D.
Internal Medicine (Cardiovascular Disease)
738 BRYANT ST STE A
STATESVILLE, NC 28677
Iredell County (704) 873-1189

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 LLC's NPI number?

The NPI number for Iredell Physician Network LLC is 1235410960. It was assigned to this organization in the NPPES registry on September 8, 2011. The provider is doing business as Statesville Cardiovascular Clinic.

Where is Iredell Physician Network LLC located?

Iredell Physician Network LLC is located at 738 Bryant St Ste A, Statesville, NC 28677. The listed phone number is (704) 873-1189.

What is Iredell Physician Network LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Iredell Physician Network LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0897936) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Iredell Physician Network LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next list Iredell Physician Network LLC 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 Iredell Physician Network LLC was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.