Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Statesville Hma Medical Group, LLC

Organization Family Medicine Physician · NPI 1639407737

Statesville Hma Medical Group, LLC provides Family Medicine Physician services in Statesville, North Carolina. Registered with an NPI since 2009.

In the registry since
2009
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

1412 Fern Creek Dr
Statesville, NC 28625-9376
Phone: (704) 660-4145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1639407737
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationStatesville Hma Medical Group LLC
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
NPI enumeratedDecember 1, 2009
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing address4000 Meridian Blvd, Franklin, TN 37067-6325

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