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CAROLINA PEDIATRIC AND ADOLESCENT MEDICINE
NPI 1730551714
Pediatrics - Adolescent Medicine in Statesville, NC

Active since October 29, 2015
1410 FERN CREEK DR, STATESVILLE, NC 28625(704) 978-2379(704) 978-2380 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolina Pediatric And Adolescent Medicine NPPES

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

CAROLINA PEDIATRIC AND ADOLESCENT MEDICINE (NPI 1730551714) is a healthcare organization registered as an adolescent medicine in Statesville, North Carolina and active in the NPI registry since October 2015. The organization lists Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1730551714
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameSTATESVILLE HMA MEDICAL GROUP LLC
Location Address1410 FERN CREEK DRStatesville, NC 28625-9376
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7230
Phone(704) 978-2379
Fax(704) 978-2380
Organization SubpartYes
Authorized OfficialJennifer JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateOctober 29, 2015
Last NPPES UpdateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
✔ NPI 1730551714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1410 FERN CREEK DR, Statesville, NC 28625
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Other Names 1

Doing Business AsCarolina Pediatric And Adolescent Medicine

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

Other Providers at the Same Location NPPES 10

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

NOVANT HEALTH MEDICAL GROUP, LLC
Internal Medicine
1410 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 978-2250
MR. ROBERT DEAN SWEDLUND PA
Physician Assistant
1410 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 978-2250
MEGAN STANLEY LEWIS FNP
Nurse Practitioner
1410 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 978-2250
IREDELL PHYSICIAN NETWORK LLC
Family Medicine
1410 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 978-2250
TARA MOON M.D.
Pediatrics
1410 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 978-2379
SAMUEL EKRO INKUMSAH MD
Family Medicine
1410 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 978-2250
MR. DAVID LEE ZAHM PA-C
Physician Assistant
1410 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 873-7012
HANNAH BROOKE BROWN FNP
Nurse Practitioner (Family)
1410 FERN CREEK DR
STATESVILLE, NC 28625
Iredell County (704) 978-2250

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 1730551714. It was assigned to this organization in the NPPES registry on October 29, 2015. The provider is doing business as Carolina Pediatric And Adolescent Medicine.

Where is Statesville Hma Medical Group LLC located?

Statesville Hma Medical Group LLC is located at 1410 Fern Creek Dr, Statesville, NC 28625. The listed phone number is (704) 978-2379.

What is Statesville Hma Medical Group LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

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.