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: August 30, 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 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 34D0247274

Iredell Physician Network, LLC Dba Iredell Internal Medicine · Statesville, NC
Active · expires Dec 8, 2027
CLIA Number34D0247274
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorRobert Ward
Laboratory Phone(704) 873-5658
Laboratory LocationIredell Physician Network, LLC Dba Iredell Internal Medicine757 Bryant St, Statesville, NC 28677
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Internal Medicine
757 BRYANT ST
STATESVILLE, NC 28677
Physician Assistant
757 BRYANT ST
STATESVILLE, NC 28677
Nurse Practitioner (Family)
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 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 1235433806. It was assigned to this organization in the NPPES registry on December 22, 2010. The provider is doing business as Iredell Internal Medicine.

Where is Iredell Physician Network LLC located?

Iredell Physician Network LLC is located at 757 Bryant St, Statesville, NC 28677. The listed phone number is (704) 873-5658.

What is Iredell Physician Network LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Iredell Physician Network LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0247274) is associated with this NPI, valid through December 8, 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.