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MOORESVILLE PPM LLC NPI 1225305576


NPI Information

NPI: 1225305576
Provider Name: MOORESVILLE PPM LLC

Doing Business As: PRIMARY CARE ASSOCIATES-WILLIAMSON

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D2124427

Address:
396 WILLIAMSON RD
MOORESVILLE, NC
ZIP 28117
Phone: (704) 664-2216
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MOORESVILLE PPM LLC is a family medicine in Mooresville, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MOORESVILLE PPM LLC NPI is 1225305576. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Primary Care Associates-williamson.

The provider's business location address is:

396 WILLIAMSON RD
MOORESVILLE, NC
ZIP 28117-935
Phone: (704) 664-2216
Fax: (704) 664-6529

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

The CLIA number assigned to this NPI record is 34D2124427 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2011 and was last updated on 1/14/2022.


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
1207Q00000XFamily MedicineYes

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: 5/5/2024

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