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 1710261151

Statesville Hma Medical Group, LLC is an Obstetrics & Gynecology Physician in Statesville, North Carolina. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1410 Fern Creek Dr
Statesville, NC 28625-9376
Phone: (704) 978-2820
Fax: (704) 978-2934
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1710261151
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 Obgyn; Statesville Obgyn
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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