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 Orthopaedic Surgery Physician · NPI 1457635898

Statesville Hma Medical Group, LLC is an Orthopaedic Surgery Physician in Statesville, North Carolina. Registered with an NPI since 2011.

In the registry since
2011
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

340 Signal Hill Dr Ste A
Statesville, NC 28625-4483
Phone: (704) 873-6065
Fax: (704) 873-6059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X

Record details

NPI number1457635898
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 Orthopedics & Sports Medicine; Statesville Orthopedics & Sports Medicine
NPI enumeratedOctober 4, 2011
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing address4000 Meridian Blvd, Franklin, TN 37067-6325

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