IREDELL OCCUPATIONAL MEDICINE
NPI 1780061424
Clinic/Center - Occupational Medicine in Mooresville, NC

Active since May 01, 2015
653 BLUEFIELD RD, STE B, MOORESVILLE, NC 28117(980) 444-2630(980) 444-2631 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2021, Jul 9, 2021, Apr 5, 2021 (3 updates tracked since 2021).

About Iredell Occupational Medicine NPPES

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

IREDELL OCCUPATIONAL MEDICINE (NPI 1780061424) is a healthcare organization registered as an occupational medicine in Mooresville, North Carolina and active in the NPI registry since May 2015. The organization maintains a secondary practice location in Mooresville and lists Carla D Johnson, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1780061424
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameIREDELL PHYSICIAN NETWORK, LLC
Location Address653 BLUEFIELD RD, STE BMooresville, NC 28117
Mailing AddressPo Box 896199Charlotte, NC 28289-6199 · (833) 936-1364 · Fax (605) 942-7505
Fax(980) 444-2631
Organization SubpartNo
Authorized OfficialCarla D JohnsonDirector Of Operations · (704) 495-3162
Enumeration DateMay 1, 2015
Last NPPES UpdateJuly 28, 20213 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
NPI 1780061424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
Also ListedGeneral PracticeTaxonomy 208D00000X
653 BLUEFIELD RD, Mooresville, NC 28117

Other Names 1

Doing Business AsIredell Occupational Medicine

Secondary Practice Location 1

Location 1128 E Plaza Dr Ste 3Mooresville, NC 28115-8000 · Phone (704) 444-2630 · Fax (704) 444-2631

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 3

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

Clinic/Center (Urgent Care)
653 BLUEFIELD RD, STE A
MOORESVILLE, NC 28117
Nurse Anesthetist, Certified Registered
653 BLUEFIELD RD
MOORESVILLE, NC 28117
Physician Assistant
653 BLUEFIELD RD
MOORESVILLE, NC 28117

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 1780061424. It was assigned to this organization in the NPPES registry on May 1, 2015. The provider is doing business as Iredell Occupational Medicine.

Where is Iredell Physician Network, LLC located?

Iredell Physician Network, LLC is located at 653 Bluefield Rd Ste B, Mooresville, NC 28117. The listed phone number is (980) 444-2630.

What is Iredell Physician Network, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

When was this NPI record last updated?

The NPPES record for Iredell Physician Network, LLC was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.