Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mooresville Ppm LLC

Organization Family Medicine Physician · NPI 1215214127

Mooresville Ppm LLC is a Family Medicine Physician in Mooresville, North Carolina. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

417 E Statesville Ave
Mooresville, NC 28115-2590
Phone: (704) 663-2389
Fax: (704) 663-4873
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1215214127
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMooresville Ppm LLC
Authorized official Jennifer Jackson — Sr Dir Prov Enroll & Onboarding · (615) 465-3334
Other names Mooresville Family Practice; Mooresville Family Practice
NPI enumeratedNovember 5, 2011
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing addressPo Box 689022, Franklin, TN 37068-9022

Other providers in Mooresville