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

Mooresville Ppm LLC

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1710384466

Mooresville Ppm LLC is an Endocrinology, Diabetes & Metabolism Physician in Mooresville, North Carolina. Registered with an NPI since 2014.

In the registry since
2014
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

134 Medical Park Rd Ste 108
Mooresville, NC 28117-8526
Phone: (704) 660-4669
Fax: (704) 660-4295
Show map & directions

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

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X

Record details

NPI number1710384466
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMooresville Ppm LLC
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Other names Lakeshore Endocrinology; Lakeshore Endocrinology
NPI enumeratedNovember 24, 2014
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing address4000 Meridian Blvd, Franklin, TN 37067-6325

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