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Statesville Hma Medical Group, LLC

Psychiatry Physician in Statesville, NC · enumerated 2011 · authorized official Jenny Jackson, Sr Dir Prov Enrollment & Onboarding.

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

National Provider Identifier

1538443973

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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 1418 Fern Creek Dr, Statesville, NC, 28625
Fax (704) 978-2195
Enumeration date Oct 4, 2011
Last updated in NPPES Jan 14, 2022

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jenny Jackson
Title Sr Dir Prov Enrollment & Onboarding

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 type of organization is Statesville Hma Medical Group, LLC?
Statesville Hma Medical Group, LLC is registered in NPPES as a Psychiatry Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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