LAKE NORMAN ORTHOPEDIC SPINE CENTER
NPI 1497032304
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Mooresville, NC

Active since November 05, 2011
170 MEDICAL PARK RD, SUITE 102, MOORESVILLE, NC 28117(704) 660-4756(704) 660-4751 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Norman Orthopedic Spine Center NPPES

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

LAKE NORMAN ORTHOPEDIC SPINE CENTER (NPI 1497032304) is a healthcare organization registered as an orthopaedic surgery of the spine in Mooresville, North Carolina and active in the NPI registry since November 2011. The organization lists Jennifer L Jackson, Sir Dir Prov Enrollment & Onboardin, as its authorized official.

NPPES Registry Identity

NPI1497032304
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameMOORESVILLE PPM LLC
Location Address170 MEDICAL PARK RD, SUITE 102Mooresville, NC 28117-8540
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7230
Fax(704) 660-4751
Organization SubpartYes
Authorized OfficialJennifer L JacksonSir Dir Prov Enrollment & Onboardin · (615) 465-3334
Enumeration DateNovember 5, 2011
Last NPPES UpdateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
NPI 1497032304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
170 MEDICAL PARK RD, Mooresville, NC 28117

Other Names 1

Doing Business AsLake Norman Orthopedic Spine Center

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

Other Providers at the Same Location NPPES 20

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

Radiology (Radiation Oncology)
170 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Internal Medicine (Gastroenterology)
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Internal Medicine
170 MEDICAL PARK RD, STE 140A
MOORESVILLE, NC 28117
Pain Medicine (Interventional Pain Medicine)
170 MEDICAL PARK RD, SUITE 301
MOORESVILLE, NC 28117
Physical Medicine & Rehabilitation
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Nurse Practitioner (Family)
170 MEDICAL PARK RD, STE 140A
MOORESVILLE, NC 28117
Internal Medicine (Hematology & Oncology)
170 MEDICAL PARK RD, SUITE 101
MOORESVILLE, NC 28117
Home Health
170 MEDICAL PARK RD, SUITE 208
MOORESVILLE, NC 28117

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 1497032304. It was assigned to this organization in the NPPES registry on November 5, 2011. The provider is doing business as Lake Norman Orthopedic Spine Center.

Where is Mooresville Ppm LLC located?

Mooresville Ppm LLC is located at 170 Medical Park Rd Suite 102, Mooresville, NC 28117. The listed phone number is (704) 660-4756.

What is Mooresville Ppm LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

What insurance does Mooresville Ppm LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee 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 with the weekly NPPES data releases published by CMS.