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 1700028982

Mooresville Ppm LLC is a Family Medicine Physician in Mooresville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
Specialties on file
13
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

131 Medical Park Rd Ste 302
Mooresville, NC 28117-8522
Phone: (704) 660-4750
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Internal Medicine Physician Taxonomy 207R00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 22538 (NC)
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Pediatrics Physician Taxonomy 208000000X
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Surgery Physician Taxonomy 208600000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1700028982
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMooresville Ppm LLC
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
NPI enumeratedApril 2, 2009
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing address4000 Meridian Blvd, Franklin, TN 37067-6325

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