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

Statesville Hma Medical Group LLC

Organization Surgery Physician · NPI 1184060717

Statesville Hma Medical Group LLC is a Surgery Physician in Statesville, North Carolina. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
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

218 Old Mocksville Rd
Statesville, NC 28625-1930
Phone: (704) 838-7165
Fax: (704) 878-2081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1184060717
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationStatesville Hma Medical Group LLC
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Other names Statesville Vascular Institute; Statesville Vascular Institute
NPI enumeratedMay 22, 2013
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing address4000 Meridian Blvd, Franklin, TN 37067-6325

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