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Mooresville Ppm LLC

Orthopaedic 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

1770860686

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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 202 Williamson Rd, Suite 100, Mooresville, NC, 28117
Phone (704) 799-7811
Fax (704) 799-7812
Enumeration date Nov 5, 2011
Last updated in NPPES Jan 14, 2022

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Primary
207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Jennifer Jackson
Title Sr Dir Prov Enrollment & 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.

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Frequently asked questions

Where is Mooresville Ppm LLC located?
The practice location on file with NPPES is in Mooresville, NC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-01-14. Verify at npiregistry.cms.hhs.gov.

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