CAMPBELL SURGICAL - NPI 1790110146 - Surgery in Mooresville, NC

Q: What is Mooresville Ppm LLC's NPI number?

The NPI number for Mooresville Ppm LLC is 1790110146. It was assigned to this organization in the NPPES registry on September 4, 2013. The provider is doing business as Campbell Surgical.

Q: What is Mooresville Ppm LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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About Campbell Surgical NPPES

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

CAMPBELL SURGICAL (NPI 1790110146) is a healthcare organization registered as a surgery in Mooresville, North Carolina and active in the NPI registry since September 2013. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1790110146

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameMOORESVILLE PPM LLC

Location Address123 PROFESSIONAL PARK DR STE 101Mooresville, NC 28117-5516

Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7230

Phone(704) 663-7905

Fax(704) 360-4954

Organization SubpartYes

Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334

Enumeration DateSeptember 4, 2013

Last NPPES UpdateJanuary 14, 2022

NPPES CertifiedJanuary 14, 2022

✔ NPI 1790110146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

123 PROFESSIONAL PARK DR STE 101, Mooresville, NC 28117

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Other Names 1

Doing Business AsCampbell Surgical

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 14

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

JALESSA SHANICE CHERRY LCSW

Social Worker (Clinical)