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

Mooresville Ppm LLC

Organization Surgery Physician · NPI 1790110146

Mooresville Ppm LLC is a Surgery Physician in Mooresville, North Carolina. Registered with an NPI since 2013.

In the registry since
2013
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

123 Professional Park Dr Ste 101
Mooresville, NC 28117-5516
Phone: (704) 663-7905
Fax: (704) 360-4954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1790110146
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMooresville Ppm LLC
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Other names Campbell Surgical; Campbell Surgical
NPI enumeratedSeptember 4, 2013
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing address4000 Meridian Blvd, Franklin, TN 37067-6325

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