IREDELL PHYSICIAN NETWORK LLC
NPI: 1053360180
· STATESVILLE, NC 28677
· Family Medicine Physician
· NPI assigned 05/08/2006
$772.00
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, CARLA (DIRECTOR OF OPERATIONS) |
| Parent Organization | IREDELL PHYSICIAN NETWORK LLC |
| NPI Enumeration Date | 05/08/2006 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, CARLA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
145 |
$772.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
145 |
145 |
$772.00 |