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Mooresville Ppm LLC

Surgery Physician in Mooresville, NC · enumerated 2011 · authorized official Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding.

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

National Provider Identifier

1598032849

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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 123 Professional Park Dr, Suite 200, Mooresville, NC, 28117
Fax (704) 663-5224
Enumeration date Nov 30, 2011
Last updated in NPPES Jan 14, 2022

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jennifer Jackson
Title Sr Dir Prov Enrollment & Onboarding

Other identifiers

Identifier Type State Issuer
5916618 Medicaid NC -

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

Who is the authorized official for Mooresville Ppm LLC?
NPPES lists Jennifer Jackson (Sr Dir Prov Enrollment & Onboarding) as the authorized official for this organization.
What is the NPI number for Mooresville Ppm LLC?
The NPI for Mooresville Ppm LLC is 1598032849, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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