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VITALITY MEDICAL SERVICES, PLLC
NPI 1508237496
General Practice in Statesville, NC

Active since October 17, 2015
2632 FINES CREEK DR, STATESVILLE, NC 28625(704) 728-9509 Get Directions Write a Review

NPPES record last updated: October 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vitality Medical Services, Pllc NPPES

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

VITALITY MEDICAL SERVICES, PLLC (NPI 1508237496) is a healthcare organization registered as a general practice in Statesville, North Carolina and active in the NPI registry since October 2015. The organization lists Richard Pavelock, Owner, as its authorized official.

NPPES Registry Identity

NPI1508237496
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameVITALITY MEDICAL SERVICES, PLLC
Location Address2632 FINES CREEK DRStatesville, NC 28625-4441
Mailing Address2632 Fines Creek DrStatesville, NC 28625-4441
Phone(704) 728-9509
Organization SubpartNo
Authorized OfficialRichard PavelockOwner · (704) 880-8665
Enumeration DateOctober 17, 2015
✔ NPI 1508237496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NC · 39460
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2632 FINES CREEK DR, Statesville, NC 28625
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Other Identifiers 3

Other196006Nc Medical Board Certificate
Medicare UPIN2152260HNC
Medicaid8966248NC

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

LIFE ENHANCEMENT MEDICAL SERVICES PLLC
Psychiatry & Neurology (Addiction Medicine)
2632 FINES CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 880-8665
RICHARD M PAVELOCK MD
Psychiatry & Neurology (Addiction Medicine)
2632 FINES CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 838-0516
MS. BETHANY J SPRAGUE
Nurse Practitioner (Family)
2632 FINES CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 880-8665

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 Vitality Medical Services, PLLC's NPI number?

The NPI number for Vitality Medical Services, PLLC is 1508237496. It was assigned to this organization in the NPPES registry on October 17, 2015.

Where is Vitality Medical Services, PLLC located?

Vitality Medical Services, PLLC is located at 2632 Fines Creek Dr, Statesville, NC 28625. The listed phone number is (704) 728-9509.

What is Vitality Medical Services, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Vitality Medical Services, PLLC was last updated on October 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.