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PRIMARY CARE ASSOCIATES OF LAKE NORMAN
NPI 1861769119
Family Medicine in Mooresville, NC

Active since November 30, 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 02, 2026.

About Primary Care Associates Of Lake Norman NPPES

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

PRIMARY CARE ASSOCIATES OF LAKE NORMAN (NPI 1861769119) is a healthcare organization registered as a family 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

NPI1861769119
Entity TypeOrganization
Primary Taxonomy207Q00000X
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 30, 2011
Last NPPES UpdateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
✔ NPI 1861769119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
202 WILLIAMSON RD, Mooresville, NC 28117
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Other Names 1

Doing Business AsPrimary Care Associates Of Lake Norman

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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
MOORESVILLE PPM LLC
Orthopaedic Surgery
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

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 1861769119. It was assigned to this organization in the NPPES registry on November 30, 2011. The provider is doing business as Primary Care Associates Of Lake Norman.

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 Family Medicine with taxonomy code 207Q00000X.

What insurance does Mooresville Ppm LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC 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 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.