Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Statesville Hma Medical Group LLC

Q: What is the NPI number for Statesville Hma Medical Group LLC?

The NPI for Statesville Hma Medical Group LLC is 1184060717, a Type 2 (organization) record in the CMS NPPES registry.

Surgery Physician in Statesville, NC · enumerated 2013 · authorized official Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding.

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

National Provider Identifier

1184060717

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Registry record

Entity type Organization (Type 2)

Legal business name Statesville Hma Medical Group LLC

Other name <Unavail>

Parent organization Statesville Hma Medical Group LLC

Practice address 218 Old Mocksville Rd, Statesville, NC, 28625

Phone (704) 838-7165

Fax (704) 878-2081

Enumeration date May 22, 2013

Last updated in NPPES Jan 14, 2022

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Jennifer Jackson

Title Sr Dir Prov Enrollment & Onboarding

Phone (615) 465-3334

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Statesville Hma Medical Group LLC?

NPPES lists Jennifer Jackson (Sr Dir Prov Enrollment & Onboarding) as the authorized official for this organization.

What is the NPI number for Statesville Hma Medical Group LLC?

The NPI for Statesville Hma Medical Group LLC is 1184060717, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-14.