Joseph C. Mazzola, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2010-01894 Issued in NC

Practice address

310 Davie Ave
Statesville, NC 28677-5319

Phone

(704) 873-3269

Fax

(704) 871-8159

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Midwestern University, Chicago College of Osteopathic Med, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iredell Physician Network LLC 91 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iredell Physician Network LLC

  • General Practice Physician
  • Statesville, NC
  • NPI 1811381593

  NC

  Medicare reassignment Care Compare group NPD
• Iredell Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Statesville, NC
  • NPI 1548230204

  NC

  Medicare reassignment NPD
• Iredell Physician Network LLC

  • Diagnostic Radiology Physician
  • Mooresville, NC
  • NPI 1326620410
  Care Compare group NPD
• Iredell Physician Network LLC

  • Rural Health Clinic/Center
  • Harmony, NC
  • NPI 1497139398
  Care Compare group NPD (past)
• Iredell Physician Network LLC

  • Rural Health Clinic/Center
  • Taylorsville, NC
  • NPI 1124402946
  Care Compare group
• Iredell Physician Network LLC

  • Ambulatory Surgical Clinic/Center
  • Statesville, NC
  • NPI 1578073631
  Care Compare group
• Iredell Memorial Hospital Incorporated

  • Psychiatric Hospital
  • Statesville, NC
  • NPI 1417783705
  NPD
• Iredell Physician Network LLC

  • Otolaryngology Physician
  • Statesville, NC
  • NPI 1447063920
  NPD
• Iredell Physician Network, LLC

  • Occupational Medicine Clinic/Center
  • Mooresville, NC
  • NPI 1780061424
  NPD
• Carolina Inpatient Medical Specialists, PLLC

  • Hospitalist Physician
  • Morganton, NC
  • NPI 1700027802
  NPD (past)
• Iredell Physician Network LLC

  • Family Medicine Physician
  • Mocksville, NC
  • NPI 1063584134

  Family Medicine

  NPD (past)
• Georgia Department of Human Resources

  • Psychiatric Hospital
  • Columbus, GA
  • NPI 1144224767
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1457368185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896199",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896199",
            "telephone_number": "833-936-1364",
            "fax_number": "605-942-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775319",
            "telephone_number": "704-873-3269",
            "fax_number": "704-871-8159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2209 S Sterling St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554091",
            "country_code": "US",
            "telephone_number": "828-580-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Wilkesboro St Ste B",
            "address_purpose": "LOCATION",
            "city": "Mocksville",
            "state": "NC",
            "postal_code": "270282321",
            "country_code": "US",
            "telephone_number": "336-753-0800",
            "fax_number": "336-753-0805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3210 Harmony Hwy",
            "address_purpose": "LOCATION",
            "city": "Harmony",
            "state": "NC",
            "postal_code": "286349161",
            "country_code": "US",
            "telephone_number": "704-546-7587",
            "fax_number": "704-539-4885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZOLA",
        "first_name": "JOSEPH",
        "middle_name": "C.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "049190",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2010-01894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916859",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00911787E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NC2409A293",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Kapp Maxwell, NP
• Madeline May
• Kimberlee White Mayberry, RN
• Shaykila Mayes, RMA
• Sandra Lourdes Mayta, LCMHC, NCC
• Erin Langdon McAdams, LCMHCS, LCAS, CCS
• Candy Holder McCall, FNP
• Christin McCall
• Duncan Alexander McCall, M.D.
• Deyon A McCalla, DMD

• All providers in Statesville, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.