Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mooresville Ppm LLC

Organization Family Medicine Physician · NPI 1861769119

Mooresville Ppm LLC provides Family Medicine Physician services in Mooresville, North Carolina. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

202 Williamson Rd Ste 100
Mooresville, NC 28117-7610
Phone: (704) 799-7811
Fax: (704) 799-7812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1861769119
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMooresville Ppm LLC
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Other names Primary Care Associates Of Lake Norman; Primary Care Associates Of Lake Norman
NPI enumeratedNovember 30, 2011
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing address4000 Meridian Blvd, Franklin, TN 37067-6325

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