IREDELL SURGERY AT MOORESVILLE ASC – NPI #1518549393
Clinic/Center

IREDELL SURGERY AT MOORESVILLE ASC is an AHC clinic located in MOORESVILLE, NC. NPPES has assigned the NPI number 1518549393 to IREDELL SURGERY AT MOORESVILLE ASC on April 22, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IREDELL SURGERY AT MOORESVILLE ASC” is a dba name, the actual legal business name for this organization is IREDELL PHYSICIAN NETWORK, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 5 years ago on May 25, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IREDELL SURGERY AT MOORESVILLE ASC below.

NPI Profile for
IREDELL PHYSICIAN NETWORK, LLC

NPI Number
1518549393
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IREDELL PHYSICIAN NETWORK, LLC
Doing Business As (dba): IREDELL SURGERY AT MOORESVILLE ASC
Primary location
653 BLUEFIELD ROAD
SUITE D
MOORESVILLE, NC 28117
Phone: (704) 883-3378 Fax: (704) 883-3228
Mailing address
PO BOX 896199
CHARLOTTE, NC 28289-6199
Phone: (833) 936-1364 Fax: (605) 942-7505
Organization Subpart
Yes - IREDELL SURGERY AT MOORESVILLE ASC is subpart of another organization.
Authorized Official
CARLA JOHNSON
DIRECTOR OF OPERATIONS
Phone: (704) 873-5661
Updated
Certification Date
May 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.