IREDELL CARDIOLOGY
NPI 1528633732
Internal Medicine - Cardiovascular Disease in Statesville, NC

Active since May 21, 2021CLIA 34D2227228 · Waiver
925 THOMAS ST, STATESVILLE, NC 28677(704) 883-3378(704) 883-3228 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2021, May 21, 2021 (2 updates tracked since 2021).

About Iredell Cardiology NPPES

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

IREDELL CARDIOLOGY (NPI 1528633732) is a healthcare organization registered as a cardiovascular disease in Statesville, North Carolina and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through June 8, 2027, maintains a secondary practice location in Mooresville, and lists Carla D Johnson, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1528633732
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameIREDELL PHYSICIAN NETWORK, LLC
Location Address925 THOMAS STStatesville, NC 28677-3484
Mailing AddressPo Box 896199Charlotte, NC 28289-6199 · (833) 936-1364 · Fax (605) 942-7505
Fax(704) 883-3228
Organization SubpartNo
Authorized OfficialCarla D JohnsonDirector Of Operations · (704) 883-3228
Enumeration DateMay 21, 2021
Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
NPI 1528633732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
925 THOMAS ST, Statesville, NC 28677

Other Names 1

Doing Business AsIredell Cardiology

Secondary Practice Location 1

Location 1653 Bluefield Road, Ste FMooresville, NC 28117 · Phone (704) 883-3378

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2227228

Iredell Cardiology · Statesville, NC
Active · expires Jun 8, 2027
CLIA Number34D2227228
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorJohn Allan
Laboratory Phone(980) 434-3803
Laboratory LocationIredell Cardiology925 Thomas Street, Statesville, NC 28677
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner
925 THOMAS ST
STATESVILLE, NC 28677
Pediatrics (Pediatric Cardiology)
925 THOMAS ST, SUITE C
STATESVILLE, NC 28677
Family Medicine
925 THOMAS ST, FAMILY PRACTICS
STATESVILLE, NC 28677
Dentist (Oral and Maxillofacial Surgery)
925 THOMAS ST
STATESVILLE, NC 28677
Pediatrics
925 THOMAS ST, B
STATESVILLE, NC 28677
Dentist (Oral and Maxillofacial Surgery)
925 THOMAS ST
STATESVILLE, NC 28677

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 1528633732. It was assigned to this organization in the NPPES registry on May 21, 2021. The provider is doing business as Iredell Cardiology.

Where is Iredell Physician Network, LLC located?

Iredell Physician Network, LLC is located at 925 Thomas St, Statesville, NC 28677. The listed phone number is (704) 883-3378.

What is Iredell Physician Network, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Iredell Physician Network, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2227228) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Iredell Physician Network, LLC accept?

Health plans from AmeriHealth Caritas Next 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 July 21, 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.