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SOUTH IREDELL INTERNAL MEDICINE, PA
NPI 1952402364
Specialist in Mooresville, NC

Active since September 26, 2006
146 MEDICAL PARK RD STE 106, MOORESVILLE, NC 28117(704) 664-5131(704) 664-7547 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Iredell Internal Medicine, Pa NPPES

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

SOUTH IREDELL INTERNAL MEDICINE, PA (NPI 1952402364) is a healthcare organization registered as a specialist in Mooresville, North Carolina and active in the NPI registry since September 2006. The organization lists Brian B Blackburn, President, as its authorized official.

NPPES Registry Identity

NPI1952402364
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH IREDELL INTERNAL MEDICINE, PA
Location Address146 MEDICAL PARK RD STE 106Mooresville, NC 28117-8529
Mailing Address146 Medical Park Rd Ste 106Mooresville, NC 28117-8529 · (704) 664-5131 · Fax (704) 664-7547
Phone(704) 664-5131
Fax(704) 664-7547
Organization SubpartNo
Authorized OfficialBrian B BlackburnPresident · (704) 664-5131
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMay 19, 2016
✔ NPI 1952402364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 29531
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
146 MEDICAL PARK RD STE 106, Mooresville, NC 28117
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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

Other Providers at the Same Location NPPES

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

ARIYONIA SHERIAH MCCAIN LCSWA
Social Worker (Clinical)
146 MEDICAL PARK RD STE 106
MOORESVILLE, NC 28117
Iredell County (704) 237-4240

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 South Iredell Internal Medicine, PA's NPI number?

The NPI number for South Iredell Internal Medicine, PA is 1952402364. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is South Iredell Internal Medicine, PA located?

South Iredell Internal Medicine, PA is located at 146 Medical Park Rd Ste 106, Mooresville, NC 28117. The listed phone number is (704) 664-5131.

What is South Iredell Internal Medicine, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for South Iredell Internal Medicine, PA was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.