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Statesville Hma Medical Group, LLC

Cardiovascular Disease Physician in Statesville, NC · enumerated 2011 · authorized official Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding.

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

National Provider Identifier

1497031314

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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 349 Brookdale Dr, Statesville, NC, 28677
Phone (704) 878-2058
Fax (704) 872-6576
Enumeration date Oct 24, 2011
Last updated in NPPES Jan 14, 2022

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary

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.

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Frequently asked questions

Where is Statesville Hma Medical Group, LLC located?
The practice location on file with NPPES is in Statesville, NC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-01-14. Verify at npiregistry.cms.hhs.gov.

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