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 is a Family Medicine Physician 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.

See every abbreviation used in this directory →

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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