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IREDELL PHYSICIAN NETWORK LLC
NPI 1467107359
Internal Medicine in Statesville, NC

Active since February 18, 2022
728 HARTNESS RD, STATESVILLE, NC 28677(704) 230-4382(704) 253-4085 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Iredell Physician Network Llc NPPES

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

IREDELL PHYSICIAN NETWORK LLC (NPI 1467107359), doing business as Nicholson Internal Medicine, is a healthcare organization registered as an internal medicine in Statesville, North Carolina and active in the NPI registry since February 2022. The organization lists Carla D Johnson, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1467107359
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIREDELL PHYSICIAN NETWORK LLC
Location Address728 HARTNESS RDStatesville, NC 28677-3425
Mailing AddressPo Box 896199Charlotte, NC 28289-6199 · (833) 936-1364 · Fax (312) 277-5144
Phone(704) 230-4382
Fax(704) 253-4085
Organization SubpartYes
Authorized OfficialCarla D JohnsonDirector Of Operations · (704) 873-5661
Enumeration DateFebruary 18, 2022
NPPES CertifiedFebruary 4, 2022
✔ NPI 1467107359 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.
728 HARTNESS RD, Statesville, NC 28677
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Other Names 1

Doing Business AsNicholson 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

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.

GASTON FAMILY HEALTH SERVICES, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
728 HARTNESS RD
STATESVILLE, NC 28677
Iredell County (704) 380-6420
MICHAEL LEON TJAHJADI MD
Pediatrics
728 HARTNESS RD
STATESVILLE, NC 28677
Iredell County (704) 360-6420
CAMILA FLORES
Nurse Practitioner (Family)
728 HARTNESS RD
STATESVILLE, NC 28677
Iredell County (704) 380-6420
IREDELL PHYSICIAN NETWORK, LLC
Pediatrics
728 HARTNESS RD
STATESVILLE, NC 28677
Iredell County (704) 380-6420

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 1467107359. It was assigned to this organization in the NPPES registry on February 18, 2022. The provider is doing business as Nicholson Internal Medicine.

Where is Iredell Physician Network LLC located?

Iredell Physician Network LLC is located at 728 Hartness Rd, Statesville, NC 28677. The listed phone number is (704) 230-4382.

What is Iredell Physician Network LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Iredell Physician Network LLC was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.