IMPERIAL HEALTH SERVICES LLC
NPI 1629504949
Nurse Practitioner - Family in Kannapolis, NC

Active since May 05, 2017CLIA 34D2168029 · Waiver
707 S MAIN ST, KANNAPOLIS, NC 28081(704) 617-2242 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2019, May 31, 2017 (2 updates tracked since 2017).

About Imperial Health Services Llc NPPES

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

IMPERIAL HEALTH SERVICES LLC (NPI 1629504949) is a healthcare organization registered as a family in Kannapolis, North Carolina and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through June 18, 2027, maintains a secondary practice location in Kannapolis, and lists Paula L Dixon, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1629504949
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameIMPERIAL HEALTH SERVICES LLC
Location Address707 S MAIN STKannapolis, NC 28081
Mailing Address707 S Main StKannapolis, NC 28081-4915 · (704) 617-2242
Organization SubpartNo
Authorized OfficialPaula L DixonFamily Nurse Practitioner · (704) 617-2242
Enumeration DateMay 5, 2017
Last NPPES UpdateMay 22, 20192 updates tracked since enumeration
NPI 1629504949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 206898
Also ListedFamily MedicineTaxonomy 207Q00000X
707 S MAIN ST, Kannapolis, NC 28081

Secondary Practice Location 1

Location 1707 S Main StKannapolis, NC 28081 · Phone (704) 617-2242

Other Identifiers 1

Medicaid7006567NC

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

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 34D2168029

Imperial Health Services, LLC · Kannapolis, NC
Active · expires Jun 18, 2027
CLIA Number34D2168029
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorPaula L. Dixon
Laboratory Phone(704) 825-8724
Laboratory LocationImperial Health Services, LLC707 South Main Street, Kannapolis, NC 28081
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 2

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

Nurse Practitioner (Family)
707 S MAIN ST
KANNAPOLIS, NC 28081
Family Medicine (Adult Medicine)
707 S MAIN ST
KANNAPOLIS, NC 28081

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 Imperial Health Services LLC's NPI number?

The NPI number for Imperial Health Services LLC is 1629504949. It was assigned to this organization in the NPPES registry on May 5, 2017.

Where is Imperial Health Services LLC located?

Imperial Health Services LLC is located at 707 S Main St, Kannapolis, NC 28081. The listed phone number is (704) 617-2242.

What is Imperial Health Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Imperial Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2168029) is associated with this NPI, valid through June 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Imperial Health Services LLC was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.