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 1053360180

Iredell Physician Network LLC is a Family Medicine Physician in Statesville, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

310 Davie Ave
Statesville, NC 28677-5319
Phone: (704) 873-3269
Fax: (704) 871-8159
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 number1053360180
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIredell Physician Network LLC
Authorized official Carla Johnson — Director Of Operations · (704) 873-5661
Other names Statesville Family Practice; Statesville Family Practice
NPI enumeratedMay 8, 2006
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing addressPo Box 896199, Charlotte, NC 28289-6199

Other providers in Statesville