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IPN FAMILY CARE CENTER OF STATESVILLE
NPI 1326862848
Family Medicine in Statesville, NC

Active since November 12, 2024
1410 FERN CREEK DR, STATESVILLE, NC 28625(704) 978-2250(704) 978-2250 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ipn Family Care Center Of Statesville NPPES

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

IPN FAMILY CARE CENTER OF STATESVILLE (NPI 1326862848) is a healthcare organization registered as a family medicine in Statesville, North Carolina and active in the NPI registry since November 2024. The organization lists Carla D Johnson, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1326862848
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIREDELL PHYSICIAN NETWORK LLC
Location Address1410 FERN CREEK DRStatesville, NC 28625-9376
Mailing AddressPo Box 896199Charlotte, NC 28289-6199 · (833) 936-1364 · Fax (605) 942-7505
Phone(704) 978-2250
Fax(704) 978-2250
Organization SubpartNo
Authorized OfficialCarla D JohnsonDirector Of Operations · (980) 434-3803
Enumeration DateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
✔ NPI 1326862848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1410 FERN CREEK DR, Statesville, NC 28625
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Other Names 1

Doing Business AsIpn Family Care Center Of Statesville

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ipn Family Care Center Of Statesville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

116

Medicare enrollment records show 116 clinicians reassign Medicare billing to Ipn Family Care Center Of Statesville, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 51 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Certified Registered Nurse Anesthetist (CRNA)39
Nurse Practitioner29
Family Practice10
Internal Medicine8
Emergency Medicine5
Cardiovascular Disease (Cardiology)3
Psychiatry3
Interventional Pain Management2
15 other specialties17

Nearest to this location (20)

See all 116
Hannah Brown, FNP
Nurse Practitioner
NPI 1700611613
1410 FERN CREEK DR
Statesville, NC 28625
(704) 978-2250
✔ PECOS✔ Accepts MedicareSame address
Samuel Inkumsah, MD
Family Practice
NPI 1629242490
1410 FERN CREEK DR
Statesville, NC 28625
(704) 978-2250
✔ PECOS✔ Accepts MedicareSame address
Megan Lewis, FNP
Nurse Practitioner
NPI 1275167207
1410 FERN CREEK DR
Statesville, NC 28625
(704) 978-2250
✔ PECOS✔ Accepts MedicareSame address
John Allan, M.D.
Cardiovascular Disease (Cardiology)
NPI 1235121997
1424 FERN CREEK DR SUITE D
Statesville, NC 28625
(704) 878-2058
✔ PECOS✔ Accepts Medicare0.1 mi
Richard Cheek, M.D.
General Surgery
NPI 1750680062
1540 E BROAD ST STE A
Statesville, NC 28625
(704) 878-4958
✔ PECOS✔ Accepts Medicare0.7 mi
Tina Kinney, FNP
Nurse Practitioner
NPI 1548529050
1540 E BROAD ST
Statesville, NC 28625
(704) 360-6500
✔ PECOS✔ Accepts Medicare0.7 mi
Suja Raju, M.D.
Psychiatry
NPI 1003254806
515 BROOKDALE DR
Statesville, NC 28677
(704) 380-3620
✔ PECOS1.0 mi
Scott Brandon, MD
Orthopedic Surgery
NPI 1396777066
774 HARTNESS RD
Statesville, NC 28677
(704) 768-3030
✔ PECOS✔ Accepts Medicare1.0 mi
William Newton, MD
Vascular Surgery
NPI 1215912258
770 HARTNESS RD
Statesville, NC 28677
(704) 873-5594
✔ PECOS✔ Accepts Medicare1.0 mi
Anna Brower, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306869870
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts Medicare1.0 mi
James Cowan, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093739575
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts Medicare1.0 mi
Kimberley Hottle, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609890888
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts Medicare1.0 mi
Kenneth Sauser, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922022102
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts Medicare1.0 mi
Stacey Schlesinger, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1053322529
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts Medicare1.0 mi
Winnie Tuck, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1336150192
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts Medicare1.0 mi
Nunta Campbell, NP
Internal Medicine
NPI 1609259183
557 BROOKDALE DR
Statesville, NC 28677
(704) 997-5525
✔ PECOS✔ Accepts Medicare1.0 mi
Elizabeth Lowrance, FNP-C
Nurse Practitioner
NPI 1316315039
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ PECOS1.0 mi
Wayne Mavellia, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1598524076
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts Medicare1.0 mi
Sarah Pagano, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255807517
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts Medicare1.0 mi
Rocco Tritico, M.D.
Diagnostic Radiology
NPI 1982606281
557 BROOKDALE DR
Statesville, NC 28677
(704) 878-4510
✔ PECOS✔ Accepts Medicare1.0 mi
See all 116 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1326862848. It was assigned to this organization in the NPPES registry on November 12, 2024. The provider is doing business as Ipn Family Care Center Of Statesville.

Where is Iredell Physician Network LLC located?

Iredell Physician Network LLC is located at 1410 Fern Creek Dr, Statesville, NC 28625. The listed phone number is (704) 978-2250.

What is Iredell Physician Network LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Iredell Physician Network LLC enrolled in Medicare?

Yes. Iredell Physician Network LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Iredell Physician Network LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 23 Medicare specialties reassign their Medicare billing to Iredell Physician Network LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (39), Nurse Practitioner (29) and Family Practice (10). Of these, 3 practice at this address and 51 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Iredell Physician Network LLC accept?

Health plans from Blue Cross and Blue Shield of NC 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 November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.