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Life Enhancement Medical Services Pllc

Addiction Medicine (Psychiatry & Neurology) Physician in Statesville, NC · enumerated 2006 · authorized official Richard Pavelock, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124046198

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Registry record

Entity type Organization (Type 2)
Legal business name Life Enhancement Medical Services Pllc
Practice address 2632 Fines Creek Dr, Statesville, NC, 28625
Phone (704) 880-8665
Fax (704) 838-0565
Enumeration date Jul 18, 2006
Last updated in NPPES Jul 1, 2026

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
2084A0401X Addiction Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Richard Pavelock
Title Owner
Phone (704) 838-0516

Other identifiers

Identifier Type State Issuer
5904288 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Life Enhancement Medical Services Pllc?
The NPI for Life Enhancement Medical Services Pllc is 1124046198, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Life Enhancement Medical Services Pllc?
NPPES lists Richard Pavelock (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-01.