MOORESVILLE PPM LLC NPI 1851678767

NPI Information

  • NPI: 1851678767
  • Provider Name: MOORESVILLE PPM LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PRIMARY CARE ASSOCIATES OF BYERS CREEK
  • Address: 128 ARGUS LN
    SUITE G
    MOORESVILLE, NC
    ZIP 28117
  • Phone: (704) 663-1440

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NPI Details

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 1851678767. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Primary Care Associates Of Byers Creek.

The provider's business location address is:

128 ARGUS LN
SUITE G
MOORESVILLE, NC
ZIP 28117-972
Phone: (704) 663-1440
Fax: (704) 663-1445

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

The enumeration date for this NPI number is 11/5/2011 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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15915049MEDICAIDNORTH CAROLINA

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: 11/21/2025

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