IREDELL AMBULATORY SURGERY CENTER
NPI 1578073631
Clinic/Center - Ambulatory Surgical in Statesville, NC

Q: What is Iredell Physician Network LLC's NPI number?

The NPI number for Iredell Physician Network LLC is 1578073631. It was assigned to this organization in the NPPES registry on October 3, 2017. The provider is doing business as Iredell Ambulatory Surgery Center.

Q: 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.

Active since October 03, 2017CLIA 34D2081124 · Waiver

701 BRYANT ST, STATESVILLE, NC 28677(704) 380-2711(704) 380-2747 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2024, Jan 14, 2022 (2 updates tracked since 2022).

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About Iredell Ambulatory Surgery Center NPPES

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

IREDELL AMBULATORY SURGERY CENTER (NPI 1578073631) is a healthcare organization registered as an ambulatory surgical in Statesville, North Carolina and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists Joanie M Cochran, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1578073631

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameIREDELL PHYSICIAN NETWORK LLC

Location Address701 BRYANT STStatesville, NC 28677-4142

Mailing AddressPo Box 896199Charlotte, NC 28289-4107 · (446) 520-6118

Phone(704) 380-2711

Fax(704) 380-2747

Organization SubpartYes

Authorized OfficialJoanie M CochranCredentialing Coordinator · (336) 306-9755

Enumeration DateOctober 3, 2017

Last NPPES UpdateMay 1, 20242 updates tracked since enumeration

NPPES CertifiedMay 1, 2024

✔ NPI 1578073631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

701 BRYANT ST, Statesville, NC 28677

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Other Names 1

Doing Business AsIredell Ambulatory Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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 34D2081124

Iredell Ambulatory Surgery Center · Statesville, NC

Active · expires Jul 20, 2028

CLIA Number34D2081124

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 21, 2026

Certificate Expiration DateJuly 20, 2028

Laboratory DirectorAlan E. Deddens

Laboratory Phone(704) 380-2711

Laboratory LocationIredell Ambulatory Surgery Center701 Bryant Street, Statesville, NC 28677

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

18 services15 patients

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 1578073631. It was assigned to this organization in the NPPES registry on October 3, 2017. The provider is doing business as Iredell Ambulatory Surgery Center.

Where is Iredell Physician Network LLC located?

Iredell Physician Network LLC is located at 701 Bryant St, Statesville, NC 28677. The listed phone number is (704) 380-2711.

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.

Does Iredell Physician Network LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2081124) is associated with this NPI, valid through July 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Iredell Physician Network LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare 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 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.