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LAKE NORMAN NEONATOLOGY
NPI 1740557008
Pediatrics - Neonatal-Perinatal Medicine in Mooresville, NC

Active since November 30, 2011
171 FAIRVIEW RD, MOORESVILLE, NC 28117(704) 660-4390(704) 660-4399 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Norman Neonatology NPPES

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

LAKE NORMAN NEONATOLOGY (NPI 1740557008) is a healthcare organization registered as a neonatal-perinatal medicine in Mooresville, North Carolina and active in the NPI registry since November 2011. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1740557008
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NameMOORESVILLE PPM LLC
Location Address171 FAIRVIEW RDMooresville, NC 28117-9500
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7230
Phone(704) 660-4390
Fax(704) 660-4399
Organization SubpartYes
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateNovember 30, 2011
Last NPPES UpdateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
✔ NPI 1740557008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
171 FAIRVIEW RD, Mooresville, NC 28117
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Other Names 1

Doing Business AsLake Norman Neonatology

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 20

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

INPATIENT CARE
Hospitalist
171 FAIRVIEW RD
MOORESVILLE, NC 28117
Iredell County (704) 660-4166
KERRY MCCARTY CRNA
Nurse Anesthetist, Certified Registered
171 FAIRVIEW RD
MOORESVILLE, NC 28117
Iredell County (704) 660-4434
DR. ALISON KOEHLER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
171 FAIRVIEW RD
MOORESVILLE, NC 28117
Iredell County (704) 660-4512
LAKE NORMAN EMERGENCY MEDICAL ASSOCIATES LLC
Emergency Medicine
171 FAIRVIEW RD
MOORESVILLE, NC 28117
Iredell County (704) 660-4000
MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC
General Acute Care Hospital
171 FAIRVIEW RD
MOORESVILLE, NC 28117
Iredell County (704) 660-4010
DR. RAYMOND JOSEPH BIERSBACH M.D.
Emergency Medicine
171 FAIRVIEW RD
MOORESVILLE, NC 28117
Iredell County (704) 660-4130
DUKE HEALTH LAKE NORMAN REGIONAL MEDICAL CENTER, INC.
General Acute Care Hospital
171 FAIRVIEW RD
MOORESVILLE, NC 28117
Iredell County (704) 660-4000
L A LORENZO MD PATHOLOGY CONSULT SERVICES P A
Pathology (Anatomic Pathology & Clinical Pathology)
171 FAIRVIEW RD
MOORESVILLE, NC 28117
Iredell County (704) 660-4511

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 1740557008. It was assigned to this organization in the NPPES registry on November 30, 2011. The provider is doing business as Lake Norman Neonatology.

Where is Mooresville Ppm LLC located?

Mooresville Ppm LLC is located at 171 Fairview Rd, Mooresville, NC 28117. The listed phone number is (704) 660-4390.

What is Mooresville Ppm LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

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.