MOORESVILLE PPM, LLC
NPI 1003567082
Internal Medicine - Interventional Cardiology in Statesville, NC

NPI Status: Active since January 12, 2022

Contact Information

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

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  • Organization
  • Internal Medicine
  • Interventional Cardiology

About MOORESVILLE PPM, LLC

This page provides the complete NPI Profile along with additional information for Mooresville Ppm, Llc, an internist established in Statesville, North Carolina operating as a Internal Medicine, focusing in interventional cardiology . The healthcare provider is registered in the NPI registry with number 1003567082 assigned on January 2022. The practitioner's primary taxonomy code is 207RI0011X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jennifer L Jackson (Sr Dir Prov Enroll & Onboarding)

NPI
1003567082
Provider Name
MOORESVILLE PPM, LLC
Entity Type
Organization
Location Address
1424 FERN CREEK DR STE D STATESVILLE, NC 28625
Location Phone
(704) 878-2058
Location Fax
(704) 872-6576
Mailing Address
PO BOX 689022 FRANKLIN, TN 37068
Mailing Phone
(615) 465-7230
Mailing Fax
(704) 872-6576
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-12-2022
Last Update Date
01-12-2022
Code Navigator

An internist like Mooresville Ppm, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Interventional Cardiology

Taxonomy Code
207RI0011X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER L JACKSON

Authorized Official Title
SR DIR PROV ENROLL & ONBOARDING
Authorized Official Phone
(615) 465-3334

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003567082, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 0 + 6 + 1 + 4 + 0 + 1 + 6 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1003567082.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Internal Medicine
1424 FERN CREEK DR STE D
STATESVILLE, NC 28625
Nurse Practitioner (Family)
1424 FERN CREEK DR STE D
STATESVILLE, NC 28625
Physician Assistant
1424 FERN CREEK DR STE D
STATESVILLE, NC 28625
Internal Medicine
1424 FERN CREEK DR STE D
STATESVILLE, NC 28625

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003567082, enumerated as an "organization" on January 12, 2022.

The provider is located at 1424 FERN CREEK DR STE D STATESVILLE, NC 28625 and the phone number is (704) 878-2058.

Internal Medicine with taxonomy code 207RI0011X and a focus in Interventional Cardiology.