Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Iredell Physician Network LLC

Organization Family Medicine Physician · NPI 1861147779

Iredell Physician Network LLC provides Family Medicine Physician services in Mooresville, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

114 Gateway Blvd Ste B
Mooresville, NC 28117-5598
Phone: (980) 435-0406
Fax: (980) 435-0409
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1861147779
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIredell Physician Network LLC
Authorized official Carla Johnson — Director Of Operations · (704) 873-5661
Other names Iredell Primary Care
NPI enumeratedFebruary 18, 2022
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022
Mailing addressPo Box 896199, Charlotte, NC 28289-6199

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