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

Statesville Hma Medical Group, LLC

Organization Family Medicine Physician · NPI 1639407737

Statesville Hma Medical Group, LLC is a Family Medicine Physician in Statesville, North Carolina. Registered with an NPI since 2009.

In the registry since
2009
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

1412 Fern Creek Dr
Statesville, NC 28625-9376
Phone: (704) 660-4145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1639407737
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationStatesville Hma Medical Group LLC
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
NPI enumeratedDecember 1, 2009
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing address4000 Meridian Blvd, Franklin, TN 37067-6325

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