IREDELL SURGICAL CENTER
NPI 1437269800
Clinic/Center - Ambulatory Surgical in Statesville, NC

Active since August 30, 2006CLIA 34D0715580 · Waiver
1720 DAVIE AVE, STATESVILLE, NC 28677(704) 871-0081(704) 871-0086 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Iredell Surgical Center NPPES

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

IREDELL SURGICAL CENTER (NPI 1437269800) is a healthcare organization registered as an ambulatory surgical in Statesville, North Carolina and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mary Elkins, Administrator, as its authorized official.

NPPES Registry Identity

NPI1437269800
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameIREDELL SURGICAL ASSOCIATES, LLP
Location Address1720 DAVIE AVEStatesville, NC 28677-3522
Mailing Address1720 Davie AveStatesville, NC 28677-3522 · (704) 871-0081 · Fax (704) 871-0086
Fax(704) 871-0086
Organization SubpartNo
Authorized OfficialMary ElkinsAdministrator · (803) 448-1022
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
NPI 1437269800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1720 DAVIE AVE, Statesville, NC 28677

Other Names 1

Doing Business AsIredell Surgical Center

Other Identifiers 2

Other00650NC · Amb Surg Ctr Bc/bs #
Medicaid3409866NC

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 83 times for 59 patients

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
34D0715580
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
BRENT WARREN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Iredell Surgical Center 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 3 providers are registered at the same or a nearby location.

Anesthesiology
1720 DAVIE AVE
STATESVILLE, NC 28677
Nurse Anesthetist, Certified Registered
1720 DAVIE AVE
STATESVILLE, NC 28677
Anesthesiology
1720 DAVIE AVE
STATESVILLE, NC 28677

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437269800, enumerated as an "organization" on August 30, 2006.

The provider is located at 1720 DAVIE AVE STATESVILLE, NC 28677 and the phone number is (704) 871-0081.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

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