IMPERIAL HEALTH SERVICES LLC
NPI 1629504949
Nurse Practitioner - Family in Kannapolis, NC
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
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Imperial Health Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Imperial Health Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCFrequently 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.
Is Imperial Health Services LLC enrolled in Medicare?
Yes. Imperial Health Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Imperial Health Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Imperial Health Services 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Imperial Health Services Llc · NPI 1629504949
Family organization in Kannapolis, North Carolina. Organization record, active in the CMS NPPES registry since May 5, 2017.
## Identity
- **NPI:** 1629504949 (Entity type: Organization)
- **Enumerated:** May 5, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Paula Dixon, FAMILY NURSE PRACTITIONER
## Practice location
- **Address:** 707 S MAIN ST, Kannapolis, NC 28081
- **Phone:** (704) 617-2242
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2019
- **Other identifiers:** Medicaid 7006567 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629504949) · Data from the CMS NPPES public registry.