IREDELL PHYSICIAN NETWORK LLC
NPI 1801475165
Surgery - Vascular Surgery in Statesville, NC

Active since April 05, 2021
770 HARTNESS RD, STATESVILLE, NC 28677(704) 883-3378(704) 883-3228 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Iredell Physician Network Llc NPPES

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

IREDELL PHYSICIAN NETWORK LLC (NPI 1801475165), doing business as Iredell Vascular Clinic, is a healthcare organization registered as a vascular surgery in Statesville, North Carolina and active in the NPI registry since April 2021. The organization lists Kathryn Heles, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1801475165
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameIREDELL PHYSICIAN NETWORK LLC
Location Address770 HARTNESS RDStatesville, NC 28677-3376
Mailing AddressPo Box 896199Charlotte, NC 28289-6199 · (833) 936-1364 · Fax (605) 942-7505
Fax(704) 883-3228
Organization SubpartYes
Authorized OfficialKathryn HelesCredentialing · (866) 340-0396
Enumeration DateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1801475165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
770 HARTNESS RD, Statesville, NC 28677

Other Names 1

Doing Business AsIredell Vascular Clinic

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Iredell Physician Network Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

116

Medicare enrollment records show 116 clinicians reassign Medicare billing to Iredell Physician Network LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 51 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Certified Registered Nurse Anesthetist (CRNA)39
Nurse Practitioner29
Family Practice10
Internal Medicine8
Emergency Medicine5
Cardiovascular Disease (Cardiology)3
Psychiatry3
Interventional Pain Management2
15 other specialties17

Nearest to this location (20)

See all 116
Vascular Surgery
NPI 1215912258
770 HARTNESS RD
Statesville, NC 28677
(704) 873-5594
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1396777066
774 HARTNESS RD
Statesville, NC 28677
(704) 768-3030
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1003254806
515 BROOKDALE DR
Statesville, NC 28677
(704) 380-3620
✔ PECOSSame address
Nurse Practitioner
NPI 1457996274
766 HARTNESS RD
Statesville, NC 28677
(704) 954-8277
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1508868647
766 HARTNESS RD STE C
Statesville, NC 28677
(704) 954-8277
✔ PECOS✔ Accepts MedicareSame address
Interventional Pain Management
NPI 1669091260
766 HARTNESS RD STE A
Statesville, NC 28677
(704) 360-4378
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306869870
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts Medicare0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093739575
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts Medicare0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609890888
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1609259183
557 BROOKDALE DR
Statesville, NC 28677
(704) 997-5525
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1316315039
557 BROOKDALE DR
Statesville, NC 28677
(704) 873-5661
✔ PECOS0.1 mi
Diagnostic Radiology
NPI 1982606281
557 BROOKDALE DR
Statesville, NC 28677
(704) 878-4510
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1326157991
757 BRYANT ST
Statesville, NC 28677
(704) 873-5658
✔ PECOS✔ Accepts Medicare0.1 mi
Qualified Audiologist
NPI 1083540645
740 BRYANT ST
Statesville, NC 28677
(704) 878-6272
0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1932214137
738 BRYANT ST SUITE A
Statesville, NC 28677
(704) 873-1180
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1952620536
738 BRYANT ST STE A
Statesville, NC 28677
(704) 873-1189
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1558703090
738 BRYANT ST STE A
Statesville, NC 28677
(704) 873-1116
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1699188912
728 HARTNESS RD
Statesville, NC 28677
(704) 360-6420
✔ PECOS0.2 mi
Family Practice
NPI 1518081520
310 DAVIE AVE
Statesville, NC 28677
(704) 873-3269
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1457368185
310 DAVIE AVE
Statesville, NC 28677
(704) 873-3269
✔ PECOS✔ Accepts Medicare0.8 mi
See all 116 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1801475165. It was assigned to this organization in the NPPES registry on April 5, 2021. The provider is doing business as Iredell Vascular Clinic.

Where is Iredell Physician Network LLC located?

Iredell Physician Network LLC is located at 770 Hartness Rd, Statesville, NC 28677. The listed phone number is (704) 883-3378.

What is Iredell Physician Network LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Iredell Physician Network LLC enrolled in Medicare?

Yes. Iredell Physician Network LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Iredell Physician Network LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 23 Medicare specialties reassign their Medicare billing to Iredell Physician Network 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (39), Nurse Practitioner (29) and Family Practice (10). Of these, 6 practice at this address and 51 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Iredell Physician Network LLC accept?

Health plans from AmeriHealth Caritas Next list Iredell Physician Network 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 Iredell Physician Network LLC was last updated on April 5, 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.