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

Statesville Hma Medical Group LLC

Organization Obstetrics & Gynecology Physician · NPI 1275069858

Statesville Hma Medical Group LLC is an Obstetrics & Gynecology Physician in Statesville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
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

555 Kitchings Dr
Statesville, NC 28677-3576
Phone: (704) 872-7294
Fax: (704) 872-4078
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 28478 (NC)

Record details

NPI number1275069858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Other names Davis Medical Group Obstetrics & Gynecology; Davis Medical Group Obstetrics & Gynecology
NPI enumeratedMay 3, 2017
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing address4000 Meridian Blvd, Franklin, TN 37067-6325

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