MOORESVILLE PPM LLC NPI 1003567082

NPI Information

  • NPI: 1003567082
  • Provider Name: MOORESVILLE PPM, LLC
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Organization
  • Address: 1424 FERN CREEK DR STE D
    STATESVILLE, NC
    ZIP 28625
  • Phone: (704) 878-2058

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NPI Details

MOORESVILLE PPM, LLC is an interventional cardiology internal medicine in Statesville, NC. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. MOORESVILLE PPM, LLC NPI is 1003567082. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1424 FERN CREEK DR STE D
STATESVILLE, NC
ZIP 28625-376
Phone: (704) 878-2058
Fax: (704) 872-6576

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Sr Dir Prov Enroll & Onboarding and has the following contact phone number (615) 465-3334.

The enumeration date for this NPI number is 1/12/2022 and was last updated on 1/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0011XInternal MedicineInterventional CardiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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