NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Mooresville Ppm, LLC

Interventional Cardiology Physician in Statesville, NC · enumerated 2022 · authorized official Jennifer Jackson, Sr Dir Prov Enroll & Onboarding.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003567082

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Mooresville Ppm, LLC
Parent organization Mooresville Ppm, LLC
Practice address 1424 Fern Creek Dr Ste D, Statesville, NC, 28625
Phone (704) 878-2058
Fax (704) 872-6576
Enumeration date Jan 12, 2022
Last updated in NPPES Jan 12, 2022

Taxonomy & classification

207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jennifer Jackson
Title Sr Dir Prov Enroll & Onboarding
Phone (615) 465-3334

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mooresville Ppm, LLC?
Mooresville Ppm, LLC is registered in NPPES as a Interventional Cardiology Physician (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-12.