1. Home
  2. Directory
  3. North Carolina
  4. Statesville
  5. Family Medicine
  6. NPI Profile

STATESVILLE HMA MEDICAL GROUP, LLC
NPI 1639407737
Family Medicine in Statesville, NC

Active since December 01, 2009
1412 FERN CREEK DR, STATESVILLE, NC 28625(704) 660-4145 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2022, Mar 5, 2020 (2 updates tracked since 2020).

About Statesville Hma Medical Group, Llc NPPES

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

STATESVILLE HMA MEDICAL GROUP, LLC (NPI 1639407737) is a healthcare organization registered as a family medicine in Statesville, North Carolina and active in the NPI registry since December 2009. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1639407737
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTATESVILLE HMA MEDICAL GROUP, LLC
Location Address1412 FERN CREEK DRStatesville, NC 28625-9376
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7000 · Fax (615) 628-6877
Phone(704) 660-4145
Organization SubpartYesParent: Statesville Hma Medical Group Llc
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateDecember 1, 2009
Last NPPES UpdateJanuary 14, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2022
✔ NPI 1639407737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1412 FERN CREEK DR, Statesville, NC 28625
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 Statesville Hma Medical Group, LLC's NPI number?

The NPI number for Statesville Hma Medical Group, LLC is 1639407737. It was assigned to this organization in the NPPES registry on December 1, 2009.

Where is Statesville Hma Medical Group, LLC located?

Statesville Hma Medical Group, LLC is located at 1412 Fern Creek Dr, Statesville, NC 28625. The listed phone number is (704) 660-4145.

What is Statesville Hma Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Statesville Hma Medical Group, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Statesville Hma Medical Group, 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 Statesville Hma Medical Group, LLC was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.