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Mooresville Ppm LLC

Orthopaedic Surgery of the Spine Physician in Mooresville, NC · enumerated 2011 · authorized official Jennifer Jackson, Sir Dir Prov Enrollment & Onboardin.

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

National Provider Identifier

1497032304

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Registry record

Entity type Organization (Type 2)
Legal business name Mooresville Ppm LLC
Other name <Unavail>
Parent organization Mooresville Ppm LLC
Practice address 170 Medical Park Rd, Suite 102, Mooresville, NC, 28117
Fax (704) 660-4751
Enumeration date Nov 5, 2011
Last updated in NPPES Jan 14, 2022

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207XS0117X Orthopaedic Surgery of the Spine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jennifer Jackson
Title Sir Dir Prov Enrollment & Onboardin

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.

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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 Orthopaedic Surgery of the Spine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-14.