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LAKE NORMAN ORTHOPEDIC & SPORTS MEDICINE
NPI 1770860686
Orthopaedic Surgery in Mooresville, NC

Active since November 05, 2011
202 WILLIAMSON RD, SUITE 100, MOORESVILLE, NC 28117(704) 799-7811(704) 799-7812 Get Directions Write a Review

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

About Lake Norman Orthopedic & Sports Medicine NPPES

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

LAKE NORMAN ORTHOPEDIC & SPORTS MEDICINE (NPI 1770860686) is a healthcare organization registered as an orthopaedic surgery 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

NPI1770860686
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMOORESVILLE PPM LLC
Location Address202 WILLIAMSON RD, SUITE 100Mooresville, NC 28117-7610
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7230
Phone(704) 799-7811
Fax(704) 799-7812
Organization SubpartYes
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateNovember 5, 2011
Last NPPES UpdateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
✔ NPI 1770860686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X
202 WILLIAMSON RD, Mooresville, NC 28117
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Other Names 1

Doing Business AsLake Norman Orthopedic & Sports Medicine

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 5

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

DR. KELLIE PAXTON D.M.D., M.S.
Dentist (Endodontics)
202 WILLIAMSON RD, SUITE 202
MOORESVILLE, NC 28117
Iredell County (704) 799-0110
DAVID E THOME DDS PLLC II
Dentist (Pediatric Dentistry)
202 WILLIAMSON RD, SUITE 200
MOORESVILLE, NC 28117
Iredell County (704) 360-8670
WILLIAM ROY DOHENY MD
Family Medicine
202 WILLIAMSON RD, SUITE 100
MOORESVILLE, NC 28117
Iredell County (704) 799-7811
DR. DAVID E THOME DDS
Dentist (Pediatric Dentistry)
202 WILLIAMSON RD, SUITE 200
MOORESVILLE, NC 28117
Iredell County (704) 360-8670
MOORESVILLE PPM LLC
Family Medicine
202 WILLIAMSON RD, SUITE 100
MOORESVILLE, NC 28117
Iredell County (704) 799-7811

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 1770860686. It was assigned to this organization in the NPPES registry on November 5, 2011. The provider is doing business as Lake Norman Orthopedic & Sports Medicine.

Where is Mooresville Ppm LLC located?

Mooresville Ppm LLC is located at 202 Williamson Rd Suite 100, Mooresville, NC 28117. The listed phone number is (704) 799-7811.

What is Mooresville Ppm LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

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.