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Organization

Iredell Physician Network, LLC

NPI Record: ActiveInternal Medicine
NPI1114704558
Statesville, North Carolina

Provider's NPPES record last updated: October 1, 2024

Overview

Entity Type
Organization
NPI
1114704558
Primary Specialty
Internal Medicine
Practice Location
Statesville, North Carolina
Organization Subpart
Yes
Parent Organization
Iredell Physician Network, LLC

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 7:47 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Internal Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

    Taxonomy code 207R00000X
  • Clinic/Center

    Multi-Specialty

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QM1300X

Practice Locations

Practice Location

738 Bryant St

Statesville, North Carolina 28677-4189

Phone: (704) 230-4382

Additional Practice Location

1540 E Broad St Ste B

Statesville, North Carolina 28625-4302

Phone: (704) 253-4085

Fax: (704) 253-4085

Other Names

  • Statesville Internal MedicineReported September 11, 2023

Record Information

Enumeration Date
September 11, 2023
Provider's NPPES Record Last Updated
October 1, 2024
Certification Date
October 1, 2024
NPISignal NPPES Dataset
August 2026

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