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

Judith Prairie, MD

Individual provider Family Medicine Physician · NPI 1407352255

Judith Prairie, MD is a Family Practice in Mooresville, North Carolina. Qualified in 2017, 9 years ago. Practices with Iredell Physician Network LLC, a 89-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

653 Bluefield Rd Ste F
Mooresville, NC 28117
Phone: (704) 360-6480
Fax: (704) 883-3228
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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 · Licence 2021-00708 (NC)

Record details

NPI number1407352255
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESJanuary 12, 2022
Certification dateJanuary 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Iredell Physician Network Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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