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

Southern Family Medicine, Inc

Organization Community/Behavioral Health Agency · NPI 1881144590

Southern Family Medicine, Inc is a Community/Behavioral Health Agency in Mooresville, North Carolina. Works from 3 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 E Statesville Ave Ste 200
Mooresville, NC 28115-2588
Phone: (704) 360-8486
Fax: (704) 230-4674
Show map & directions

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

Additional practice locations (2)

  • 160 Baker Rd, High Point, NC 27263-2758 — (336) 307-4075
  • 121 Country Ln, Mocksville, NC 27028-2588 — (336) 677-3900

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1881144590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Micolucci — Ceo · (704) 953-4890
NPI enumeratedOctober 5, 2016
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address400 E Statesville Ave Ste 200, Mooresville, NC 28115-2588

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