IREDELL PRIMARY CARE
NPI 1861147779
Family Medicine in Mooresville, NC
- Organization
- Family Medicine
- CLIA Number: 34D2258920
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-27-2028
About IREDELL PRIMARY CARE
This page provides the complete NPI Profile along with additional information for Iredell Primary Care, a primary care provider established in Mooresville, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1861147779 assigned on February 2022. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Iredell Primary Care. The authorized official of this NPI record is Carla D Johnson (Director Of Operations)
- NPI
- 1861147779 Verify this NPI
- Provider Legal Name
- IREDELL PHYSICIAN NETWORK LLC
- Other Organization Name
- IREDELL PRIMARY CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 114 GATEWAY BLVD STE B MOORESVILLE, NC 28117
- Location Phone
- (980) 435-0406
- Location Fax
- (980) 435-0409
- Mailing Address
- PO BOX 896199 CHARLOTTE, NC 28289
- Mailing Phone
- (833) 936-1364
- Mailing Fax
- (312) 277-5144
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-18-2022
- Last Update Date
- 03-10-2022
- Code Navigator
A primary care provider (PCP) like Iredell Primary Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2258920
- Facility Type
- Physician Office
- Certificate Effective Date
- April 28, 2026
- Certificate Expiration Date
- April 27, 2028
- Laboratory Director
- ANTHONY D. ELKINS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Iredell Primary Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861147779, enumerated as an "organization" on February 18, 2022.
The provider is located at 114 GATEWAY BLVD STE B MOORESVILLE, NC 28117 and the phone number is (980) 435-0406.
Family Medicine with taxonomy code 207Q00000X.
