LAKESHORE ENDOCRINOLOGY
NPI 1710384466
Internal Medicine - Endocrinology, Diabetes & Metabolism in Mooresville, NC

Active since November 24, 2014
134 MEDICAL PARK RD, SUITE 108, MOORESVILLE, NC 28117(704) 660-4669(704) 660-4295 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeshore Endocrinology NPPES

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

LAKESHORE ENDOCRINOLOGY (NPI 1710384466) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Mooresville, North Carolina and active in the NPI registry since November 2014. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1710384466
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameMOORESVILLE PPM LLC
Location Address134 MEDICAL PARK RD, SUITE 108Mooresville, NC 28117-8526
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7230
Fax(704) 660-4295
Organization SubpartYes
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateNovember 24, 2014
Last NPPES UpdateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
NPI 1710384466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
134 MEDICAL PARK RD, Mooresville, NC 28117

Other Names 1

Doing Business AsLakeshore Endocrinology

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

Other Providers at the Same Location NPPES 13

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

Physical Therapist
134 MEDICAL PARK RD
MOORESVILLE, NC 28117
Internal Medicine (Cardiovascular Disease)
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Internal Medicine (Cardiovascular Disease)
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Internal Medicine (Cardiovascular Disease)
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Neurological Surgery
134 MEDICAL PARK RD, SUITE 108
MOORESVILLE, NC 28117
Nurse Practitioner (Family)
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC 28117
Internal Medicine
134 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Physical Therapist
134 MEDICAL PARK RD
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 1710384466. It was assigned to this organization in the NPPES registry on November 24, 2014. The provider is doing business as Lakeshore Endocrinology.

Where is Mooresville Ppm LLC located?

Mooresville Ppm LLC is located at 134 Medical Park Rd Suite 108, Mooresville, NC 28117. The listed phone number is (704) 660-4669.

What is Mooresville Ppm LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

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.