IREDELL COUNTY GROUP SERVICES, PLLC (NPI# 1356710032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356710032 |
| Entity Type | Organization |
| Organization Name | IREDELL COUNTY GROUP SERVICES, PLLC |
| Practice Address |
218 Old Mocksville Rd Statesville NC 28625-1930 |
| Mailing Address |
5665 New Northside Dr Suite 320 Atlanta GA 30328-5831 |
| Practice Telephone | 7048730281 |
| Mailing Telephone | 7708745400 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2017-03-03 |
| Authorized Official Name | MR. CHRISTOPHER BRIAN DURHAM (PRESIDENT) |
| Authorized Official Telephone | 7708745400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Street Address |
218 OLD MOCKSVILLE RD |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811967011 | Elisabeth M Robertson | Anesthesiology | 218 Old Mocksville Rd, Anesthesia Dept, Statesville, NC 28625-1930 | 2006-01-23 |
| 1649806936 | Amanda Haymore Coble | Nurse Practitioner | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2020-03-18 |
| 1437708583 | Ashley Nicole Hollifield | Nurse Practitioner | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2019-09-10 |
| 1649636085 | Regional Physicians LLC | Internal Medicine | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2016-01-14 |
| 1760854210 | Sarah Cochran Barker | Nurse Practitioner | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2015-10-23 |
| 1275914046 | Cornerstone Health Care Pa | Internal Medicine | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2015-06-17 |
| 1184060717 | Statesville Hma Medical Group LLC | Surgery | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2013-05-22 |
| 1194168161 | Andrew Venters Owens | Psychiatry & Neurology | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2013-04-09 |
| 1376881904 | Thierry Mitchel Mallet | Internal Medicine | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2013-01-16 |
| 1063766426 | Scott M Rhodes | Physical Therapist | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2012-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235449125 | Optimed Hospitalists, Pllc | Hospitalist | 557 Brookdale Drive, Statesville, NC 28677-4107 | 2010-10-14 |
| 1265644025 | Agape Family Medicine & Pediatrics, P.a. | Hospitalist | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377683 | David W. Emison | Hospitalist | 6524 Donnegal Farm Rd, Charlotte, NC 28270-0888 | 2020-05-11 |
| 1477086445 | Patrick Aaron Mccann | Hospitalist | Medical Center Blvd Watlington Hall 3rd Floor, Winston Salem, NC 27157-0001 | 2017-04-06 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| 1477942613 | Optimed Hospitalists, Pllc | Hospitalist | 108 S Main St Ste E, Davidson, NC 28036-8096 | 2015-01-12 |
| 1235543356 | Philip Chu | Hospitalist | 2301 Erwin Rd Cb 2918, Durham, NC 27710 | 2014-06-17 |
| 1245676808 | Sandra Beth Brown | Hospitalist | 2301 Erwin Road Duke University Medical Center, Durham, NC 27710-7160 | 2013-05-22 |
| 1710278155 | Elias Ashame Md Pllc | Hospitalist | 5306 Millstone Ct, Belmont, NC 28012-7528 | 2011-04-19 |
| 1619206133 | Knd Development 59 LLC | Hospitalist | 2401 Southside Blvd, Greensboro, NC 27406-3311 | 2009-12-11 |
| 1871756890 | Robin Edwin | Hospitalist | 1900 Kildaire Farm Rd Dept Of, Cary, NC 27518-6616 | 2008-07-09 |
| 1154583664 | Nishant Dhungel | Hospitalist | 101 Shorelake Dr, Apt# 112 F, Greensboro, NC 27455-2487 | 2008-06-26 |
| Find all providers with the same taxonomy | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.