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

Iredell Physician Network LLC

Organization Internal Medicine Physician · NPI 1467107359

Iredell Physician Network LLC is an Internal Medicine Physician in Statesville, 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

728 Hartness Rd
Statesville, NC 28677-3425
Phone: (704) 230-4382
Fax: (704) 253-4085
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1467107359
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIredell Physician Network LLC
Authorized official Carla Johnson — Director Of Operations · (704) 873-5661
Other names Nicholson Internal Medicine
NPI enumeratedFebruary 18, 2022
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 4, 2022
Mailing addressPo Box 896199, Charlotte, NC 28289-6199

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