| Statesville Hma Medical Group, Llc | |
|
1418 Fern Creek Dr Statesville NC 28625-9376 | |
| (704) 978-2194 | |
| (704) 978-2195 |
| Full Name | Statesville Hma Medical Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1418 Fern Creek Dr, Statesville, North Carolina |
| Authorized Official Name and Position | Jenny L Jackson (SR DIR PROV ENROLLMENT & ONBOARDING) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Statesville Hma Medical Group, Llc 4000 Meridian Blvd Franklin TN 37067-6325 Ph: (615) 465-7230 | Statesville Hma Medical Group, Llc 1418 Fern Creek Dr Statesville NC 28625-9376 Ph: (704) 978-2194 |
| NPI Number | 1538443973 |
|---|---|
| Provider Enumeration Date | 10/04/2011 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538443973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Barium Springs Home For Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Barium Springs Drive, Statesville, NC 28677 Phone: 704-873-1011 Fax: 704-924-7683 | |
Behavioral Healthcare & Memory Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215b W Broad St, Statesville, NC 28677 Phone: 704-878-8884 Fax: 704-878-8883 | |
New River Service Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 524 Signal Hill Drive Ext, Statesville, NC 28625 Phone: 704-871-1045 Fax: 704-883-8638 | |
Iredell County Dss Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 Eastside Dr, Statesville, NC 28625 Phone: 704-873-5631 Fax: 704-871-3489 | |
Manifest Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Stockton St Ste M, Statesville, NC 28677 Phone: 980-446-0004 Fax: 980-446-0004 | |
River Region Psychiatry Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-873-0281 | |
Cnc Access Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Stockton St, Statesville, NC 28677 Phone: 800-866-0860 |