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

Wake Forest University Baptist Medical Center Community Physicians

Organization Family Medicine Physician · NPI 1417940636

Wake Forest University Baptist Medical Center Community Physicians is a Family Medicine Physician in Statesville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005

Practice location Address checks out

509 Brookdale Dr Young Family Practice
Statesville, NC 28677-4107
Phone: (704) 924-7992
Fax: (704) 924-7950
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (NC)

Record details

NPI number1417940636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lewis Thorp — President Ceo · (336) 659-5116
Other names Young Family Practice
NPI enumeratedAugust 23, 2005
Last updated in NPPESAugust 22, 2020
Mailing address509 Brookdale Dr, Young Family Practice, Statesville, NC 28677-4107

Other providers in Statesville