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Statesville Hma Medical Group LLC

Pediatric Adolescent Medicine Physician in Statesville, NC · enumerated 2015 · authorized official Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding.

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

National Provider Identifier

1730551714

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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 1410 Fern Creek Dr, Statesville, NC, 28625
Phone (704) 978-2379
Fax (704) 978-2380
Enumeration date Oct 29, 2015
Last updated in NPPES Jan 14, 2022

Taxonomy & classification

2080A0000X Pediatric Adolescent Medicine 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

What is the NPI number for Statesville Hma Medical Group LLC?
The NPI for Statesville Hma Medical Group LLC is 1730551714, a Type 2 (organization) record in the CMS NPPES registry.
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.

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