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MOORESVILLE FAMILY PRACTICE
NPI 1215214127
Family Medicine in Mooresville, NC

Active since November 05, 2011
417 E STATESVILLE AVE, MOORESVILLE, NC 28115(704) 663-2389(704) 663-4873 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mooresville Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOORESVILLE FAMILY PRACTICE (NPI 1215214127) is a healthcare organization registered as a family medicine in Mooresville, North Carolina and active in the NPI registry since November 2011. The organization lists Jennifer L Jackson, Sr Dir Prov Enroll & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1215214127
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOORESVILLE PPM LLC
Location Address417 E STATESVILLE AVEMooresville, NC 28115-2590
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7230 · Fax (615) 628-6677
Phone(704) 663-2389
Fax(704) 663-4873
Organization SubpartYes
Authorized OfficialJennifer L JacksonSr Dir Prov Enroll & Onboarding · (615) 465-3334
Enumeration DateNovember 5, 2011
Last NPPES UpdateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
✔ NPI 1215214127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
417 E STATESVILLE AVE, Mooresville, NC 28115
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Other Names 1

Doing Business AsMooresville Family Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS EMIL GROSS M.D.
Family Medicine (Geriatric Medicine)
417 E STATESVILLE AVE
MOORESVILLE, NC 28115
Iredell County (704) 663-3063
NOVANT HEALTH MEDICAL GROUP, LLC
Family Medicine
417 E STATESVILLE AVE
MOORESVILLE, NC 28115
Iredell County (704) 663-3063
NOVANT MEDICAL GROUP, INC.
Family Medicine
417 E STATESVILLE AVE
MOORESVILLE, NC 28115
Iredell County (704) 663-3063
AMY NEAL FNP-C
Nurse Practitioner
417 E STATESVILLE AVE
MOORESVILLE, NC 28115
Iredell County (704) 663-3063
KELEY BRENNAN
Nurse Practitioner
417 E STATESVILLE AVE
MOORESVILLE, NC 28115
Iredell County (704) 663-3063
MALCOLM SYMES
Family Medicine
417 E STATESVILLE AVE
MOORESVILLE, NC 28115
Iredell County (704) 663-3063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mooresville Ppm LLC's NPI number?

The NPI number for Mooresville Ppm LLC is 1215214127. It was assigned to this organization in the NPPES registry on November 5, 2011. The provider is doing business as Mooresville Family Practice.

Where is Mooresville Ppm LLC located?

Mooresville Ppm LLC is located at 417 E Statesville Ave, Mooresville, NC 28115. The listed phone number is (704) 663-2389.

What is Mooresville Ppm LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Mooresville Ppm LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Mooresville Ppm LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mooresville Ppm LLC was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.