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 1770860686

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

202 Williamson Rd Ste 100
Mooresville, NC 28117-7610
Phone: (704) 799-7811
Fax: (704) 799-7812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X

Record details

NPI number1770860686
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMooresville Ppm LLC
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Other names Lake Norman Orthopedic & Sports Medicine; Lake Norman Orthopedic & Sports Medicine
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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