Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Statesville Hma Medical Group, LLC

Family Medicine 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

1811292295

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Registry record

Entity type Organization (Type 2)

Legal business name Statesville Hma Medical Group, LLC

Other name <Unavail>

Practice address 1414 Fern Creek Dr, Statesville, NC, 28625

Phone (704) 978-2250

Fax (704) 978-2257

Enumeration date Jan 17, 2011

Last updated in NPPES Jan 14, 2022

Taxonomy & classification

207Q00000X Family 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.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Statesville Hma Medical Group, LLC?

Statesville Hma Medical Group, LLC is registered in NPPES as a Family Medicine 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.

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