IREDELL SURGERY AT MOORESVILLE ASC
NPI 1518549393
Clinic/Center - Ambulatory Surgical in Mooresville, NC
About Iredell Surgery At Mooresville Asc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IREDELL SURGERY AT MOORESVILLE ASC (NPI 1518549393) is a healthcare organization registered as an ambulatory surgical in Mooresville, North Carolina and active in the NPI registry since April 2021. The organization lists Carla D Johnson, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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)
Iredell Surgery At Mooresville Asc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
116Medicare enrollment records show 116 clinicians reassign Medicare billing to Iredell Surgery At Mooresville ASC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 23
Nearest to this location (20)
See all 116Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 1518549393. It was assigned to this organization in the NPPES registry on April 22, 2021. The provider is doing business as Iredell Surgery At Mooresville ASC.
Where is Iredell Physician Network, LLC located?
Iredell Physician Network, LLC is located at 653 Bluefield Road Suite D, Mooresville, NC 28117. The listed phone number is (704) 883-3378.
What is Iredell Physician Network, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
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, 6 practice at this address and 19 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 AmeriHealth Caritas Next and 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 May 25, 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.
# Iredell Surgery At Mooresville Asc · NPI 1518549393
Ambulatory Surgical organization in Mooresville, North Carolina. Organization record, active in the CMS NPPES registry since April 22, 2021.
## Identity
- **NPI:** 1518549393 (Entity type: Organization)
- **Enumerated:** April 22, 2021
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Iredell Physician Network, Llc
- **Organization subpart:** Yes (part of Iredell Physician Network, Llc)
- **Authorized official:** Carla Johnson, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 653 BLUEFIELD ROAD, SUITE D, Mooresville, NC 28117
- **Phone:** (704) 883-3378 · **Fax:** (704) 883-3228
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 116 clinicians in 23 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (39), Nurse Practitioner (29), Family Practice (10); 6 practice at this address and 19 within 10 miles; [full list](https://npiprofile.com/npi/1518549393/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1518549393) · Data from the CMS NPPES public registry.