STATESVILLE HMA MEDICAL GROUP, LLC (NPI# 1548796584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548796584 |
| Entity Type | Organization |
| Organization Name | STATESVILLE HMA MEDICAL GROUP, LLC |
| Other Organization Name | DAVIS MEDICAL GROUP FAMILY PRACTICE STONY POINT |
| Practice Address |
35 Ruritan Park Rd Stony Point NC 28678-8928 |
| Practice Telephone | 7045859373 |
| Practice Fax Number | 7045859397 |
| Mailing Telephone | 7045859373 |
| Mailing Fax Number | 7045859397 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | SANDRA BALES (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7046604524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 101815 | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Davis Medical Group Family Practice Stony Point | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548544984 | Statesville Hma Medical Group, LLC | Surgery | 1703 Davie Ave, Statesville, NC 28677-3521 | 2011-10-04 |
| 1538443973 | Statesville Hma Medical Group, LLC | Psychiatry & Neurology | 1418 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-10-04 |
| 1639407737 | Statesville Hma Medical Group, LLC | Family Medicine | 1412 Fern Creek Dr, Statesville, NC 28625-9376 | 2009-12-01 |
| 1932476298 | Statesville Hma Medical Group, LLC | Urology | 1410 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-11-30 |
| 1801163167 | Statesville Hma Medical Group, LLC | Family Medicine | 1414 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-11-30 |
| 1497031314 | Statesville Hma Medical Group, LLC | Internal Medicine | 349 Brookdale Dr, Statesville, NC 28677-4103 | 2011-10-24 |
| 1629352679 | Statesville Hma Medical Group, LLC | Orthopaedic Surgery | 340 Signal Hill Dr Ste A, Statesville, NC 28625-4483 | 2011-10-07 |
| 1609150655 | Statesville Hma Medical Group, LLC | Orthopaedic Surgery | 223 Hospital St, Mocksville, NC 27028-2038 | 2011-10-07 |
| 1871877829 | Statesville Hma Medical Group, LLC | Physical Therapist | 375 Hospital St, Suite 200, Mocksville, NC 27028-2086 | 2011-10-07 |
| 1942584990 | Statesville Hma Medical Group, LLC | Orthopaedic Surgery | 305 E Lee Ave, Yadkinville, NC 27055-8132 | 2011-10-07 |
| Street Address |
35 RURITAN PARK RD |
| City | STONY POINT |
| State | NC |
| Zip Code | 28678-8928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225143936 | Stony Point Family Medicine Pa | Physician Assistant | 35 Ruritan Park Rd, Stony Point, NC 28678-8928 | 2006-08-20 |
| 1477053718 | Krystal M Coleman | Nurse Practitioner | 35 Ruritan Park Rd, Stony Point, NC 28678-8928 | 2018-02-13 |
| 1215044045 | Robert Dean Swedlund | Physician Assistant | 35 Ruritan Park Rd, Stony Point, NC 28678-8928 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528097441 | Mack's 1st Rx Pharmacy Inc | Pharmacy | 8782 Nc Hwy 90 E, Stony Point, NC 28678 | 2006-07-02 |
| 1184113953 | Melissa C Bass | Pharmacist | 8782 Nc Hwy 90 E, Stony Point, NC 28678 | 2018-05-07 |
| 1215568217 | Front Porch Wellness | Nurse Practitioner | 307 Gardner Point Dr, Stony Point, NC 28678-8998 | 2020-01-29 |
| 1629439104 | Melissa Sue Mough | Nurse Anesthetist, Certified Registered | 416 Gardner Point Dr, Stony Point, NC 28678-9039 | 2016-03-11 |
| 1215037700 | Duramedix Healthcare LLC | Durable Medical Equipment & Medical Supplies | 4837 Taylorsville Hwy, Stony Point, NC 28678-9050 | 2006-09-24 |
| 1104177401 | Orthotic Care LLC | Durable Medical Equipment & Medical Supplies | 4837 Taylorsville Hwy, Stony Point, NC 28678-9050 | 2012-09-26 |
| 1124591623 | Sonya Lynn Grant | Physical Therapy Assistant | 165 Jordan Crest Ln, Stony Point, NC 28678-9171 | 2019-01-07 |
| 1174755565 | Avalon Farm | Day Training, Developmentally Disabled Services | 166 Fair Oaks Ln, Stony Point, NC 28678-9209 | 2009-08-18 |
| 1205093440 | Divine Koncepts, Inc | Community Based Residential Treatment Facility, Mental Illness | 129 Plank Barn Ln, Stony Point, NC 28678-9217 | 2008-05-16 |
| 1720177983 | Gerri P. Howell | Dental Assistant | 3798 Old Mountain Rd, Stony Point, NC 28678-9467 | 2006-10-12 |
| Find all providers in zip 28678 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437339 | Hema Dave | Family Medicine | 4 Joyce Plz, Stony Point, NY 10980-2700 | 2005-06-16 |
| 1609092071 | Hema Dave, D.o. PC | Family Medicine | 4 Joyce Plz, Stony Point, NY 10980-2700 | 2007-04-17 |
| 1225036908 | Stony Point Medical Assoc. Pllc | Family Medicine | 6 Liberty Square Mall, Stony Point, NY 10980-2400 | 2005-07-07 |
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|---|---|---|---|---|
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| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | STONY POINT |
| Zip Code | 28678 |
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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.