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

Nc Immunology, PC

Organization Allergy & Immunology Physician · NPI 1619785920

Nc Immunology, PC is an Allergy & Immunology Physician in Statesville, North Carolina. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1414 Fern Creek Dr
Statesville, NC 28625-9376
Phone: (704) 873-5055
Fax: (704) 873-5025
Show map & directions

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

Additional practice locations (1)

  • 150 Fairview Rd Ste 210, Mooresville, NC 28117-9507 — (704) 873-5055

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X
Gastroenterology Physician Taxonomy 207RG0100X
Rheumatology Physician Taxonomy 207RR0500X
Infusion Therapy Clinic/Center Taxonomy 261QI0500X

Record details

NPI number1619785920
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anna Jackson — Office Administrator · (704) 873-5055
Other names Nc Immunology, Pc; Nc Immunology Allergy And Asthma
NPI enumeratedDecember 19, 2024
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address1414 Fern Creek Dr, Statesville, NC 28625-9376

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