IREDELL INTERNAL MEDICINE
NPI 1235433806
Internal Medicine in Statesville, NC

Active since December 22, 2010CLIA 34D0247274 · Waiver
757 BRYANT ST, STATESVILLE, NC 28677(704) 873-5658(704) 873-5659 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Iredell Internal Medicine NPPES

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

IREDELL INTERNAL MEDICINE (NPI 1235433806) is a healthcare organization registered as an internal medicine in Statesville, North Carolina and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through December 8, 2027 and lists Kathryn Heles, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1235433806
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIREDELL PHYSICIAN NETWORK LLC
Location Address757 BRYANT STStatesville, NC 28677-4142
Mailing AddressPo Box 896199Charlotte, NC 28289-6199 · (833) 936-1364 · Fax (605) 942-7505
Fax(704) 873-5659
Organization SubpartYes
Authorized OfficialKathryn HelesCredentialing · (866) 340-0396
Enumeration DateDecember 22, 2010
Last NPPES UpdateApril 5, 2021
NPPES CertifiedApril 5, 2021
NPI 1235433806 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.

757 BRYANT ST, Statesville, NC 28677

Other Names 1

Doing Business AsIredell Internal Medicine

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0247274
Facility Type
Physician Office
Certificate Effective Date
December 09, 2025
Certificate Expiration Date
December 08, 2027
Laboratory Director
ROBERT WARD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Iredell Internal Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Internal Medicine
757 BRYANT ST
STATESVILLE, NC 28677
Nurse Practitioner (Family)
757 BRYANT ST
STATESVILLE, NC 28677
Physician Assistant
757 BRYANT ST
STATESVILLE, NC 28677
Clinic/Center (Primary Care)
757 BRYANT ST
STATESVILLE, NC 28677
Internal Medicine
757 BRYANT ST
STATESVILLE, NC 28677

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235433806, enumerated as an "organization" on December 22, 2010.

The provider is located at 757 BRYANT ST STATESVILLE, NC 28677 and the phone number is (704) 873-5658.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.