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Southern Family Medicine, Inc.

Community/Behavioral Health Agency in Mooresville, NC · enumerated 2016 · authorized official Angela Micolucci, Ceo.

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

National Provider Identifier

1881144590

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Family Medicine, Inc.
Practice address 400 E Statesville Ave Ste 200, Mooresville, NC, 28115
Phone (704) 360-8486
Fax (704) 230-4674
Enumeration date Oct 5, 2016
Last updated in NPPES Jan 14, 2026

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Angela Micolucci
Title Ceo
Phone (704) 953-4890

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 Southern Family Medicine, Inc. 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 2026-01-14. Verify at npiregistry.cms.hhs.gov.

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