IREDELL PHYSICIAN NETWORK LLC — NPI 1013941145 (Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) in STATESVILLE, NC)

Plain-English Taxonomy Translation (208000000X)

What Does Taxonomy Code 208000000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208000000X translates in plain language to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"

Primary Certifying / Accrediting Authority: American Board of Pediatrics (ABP)
When Patients Should Consult: Newborn jaundice screening, routine childhood vaccinations, developmental milestones, pediatric fevers, ear infections, asthma, or acute gastroenteritis.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with IREDELL PHYSICIAN NETWORK LLC:

High-Volume Clinical Procedures & Diagnostics:

Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
Pediatric Asthma Nebulization & Spirometry Evaluation

Common Therapeutic & Prescribing Classes:

Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1013941145 (NPI-2 Organization / Facility)
Provider / Legal Name	IREDELL PHYSICIAN NETWORK LLC
Plain-English Specialty	Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: `174400000X` (Specialist)
Certifying / Licensing Body	American Board of Pediatrics (ABP)
Practice Location Address	557 BROOKDALE DR, STATESVILLE, NC, 286774107
Practice Telephone / Fax	Tel: 704-873-5661
Administrative Mailing Address	P.O. BOX 60397, CHARLOTTE, NC, 282600397
Enumeration & Last Sync	Enumerated: 2006-07-11 \| Updated: 2010-05-12
Authorized Official	ANNA PURCELL (Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

557 BROOKDALE DR, STATESVILLE, NC, 286774107

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ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`174400000X` — Specialist Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: Verified \| Primary Taxonomy: Yes

IREDELL PHYSICIAN NETWORK LLC (NPI #1013941145)