Statesville Hma Medical Group, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

STATESVILLE HMA MEDICAL GROUP, LLC

Practice address

349 Brookdale Dr
Statesville, NC 28677-4103

Phone

(704) 878-2058

Fax

(704) 872-6576

NPI assigned

Oct 24, 2011

Organization subpart

Yes

Parent organization

STATESVILLE HMA MEDICAL GROUP LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Jennifer L Jackson

Title

Sr Dir Prov Enrollment & Onboarding

Phone

(615) 465-3334

Specialties & licenses 1

Addresses

Other names 1

• Statesville Cardiology Doing business as

Part of

Statesville Hma Medical Gro

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Menelaos Voulgaropoulos, M.D.

  • Internal Medicine Physician
  • Statesville, NC
  • NPI 1245231430
  NPD (past)

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1497031314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MERIDIAN BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676325",
            "telephone_number": "615-465-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774103",
            "telephone_number": "704-878-2058",
            "fax_number": "704-872-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESVILLE HMA MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATESVILLE HMA MEDICAL GROUP LLC",
        "enumeration_date": "2011-10-24",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR DIR PROV ENROLLMENT & ONBOARDING",
        "authorized_official_telephone_number": "615-465-3334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Statesville Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Statesville Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Statesville Hma Medical Group LLC
• Statesville Hma Medical Group LLC
• Statesville Hma Medical Group, LLC
• Statesville Hma Medical Group, LLC
• Statesville Hma Medical Group, LLC
• Statesville Hma Medical Group, LLC
• Statesville Hma Medical Group, LLC
• Statesville Hma Medical Group, LLC
• Statesville Hma Medical Group, LLC
• Statesville Hma Medical Group, LLC

• Cardiovascular Disease Physician in Statesville, NC
• Providers in Statesville, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.