Organization · Type 2 NPI

Statesville Hma Medical Group, LLC

Cardiovascular Disease Physician · Statesville, NC

NPI number 1497031314 Active

Practice location

349 Brookdale Dr
Statesville, NC 28677-4103

Call (704) 878-2058 Map

Fax (704) 872-6576

Mailing address

4000 Meridian Blvd
Franklin, TN 37067-6325

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

3 other providers at this address

Other cardiovascular disease physician providers in Statesville

See all in Statesville →

NPI record

NPI: 1497031314
Entity type: Organization (Type 2)
Issued: Oct 24, 2011
Last updated: Jan 14, 2022
Status: Active
Subpart: Yes of Statesville Hma Medical Group LLC

Other names

<unavail>
Statesville Cardiology · doing business as
Statesville Cardiology · doing business as

Authorized official

Mrs. Jennifer L Jackson
SR Dir Prov Enrollment & Onboarding
(615) 465-3334

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1497031314

Statesville Hma Medical Group, LLC's National Provider Identifier is 1497031314, issued on Oct 24, 2011. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Statesville, NC. The record was last updated on Jan 14, 2022.