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

Mooresville Ppm LLC

Organization Internal Medicine Physician · NPI 1912287467

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

In the registry since
2011
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

157 Professional Park Dr Ste A
Mooresville, NC 28117-5605
Phone: (704) 662-3967
Fax: (704) 662-3975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1912287467
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 Internal Medicine; Lakeshore Internal Medicine
NPI enumeratedAugust 27, 2011
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing address4000 Meridian Blvd, Franklin, TN 37067-6325

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