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

Mooresville Ppm LLC

Organization Orthopaedic Surgery Physician · NPI 1497032304

Mooresville Ppm LLC is an Orthopaedic Surgery Physician in Mooresville, North Carolina. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

170 Medical Park Rd Ste 102
Mooresville, NC 28117-8540
Phone: (704) 660-4756
Fax: (704) 660-4751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X
Orthopaedic Surgery Physician Taxonomy 207X00000X

Record details

NPI number1497032304
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMooresville Ppm LLC
Authorized official Jennifer Jackson — Sir Dir Prov Enrollment & Onboardin · (615) 465-3334
Other names Lake Norman Orthopedic Spine Center; Lake Norman Orthopedic Spine Center
NPI enumeratedNovember 5, 2011
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing address4000 Meridian Blvd, Franklin, TN 37067-6325

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