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LAKESHORE INTERNAL MEDICINE
NPI 1912287467
Internal Medicine in Mooresville, NC

Active since August 27, 2011
157 PROFESSIONAL PARK DR, SUITE A, MOORESVILLE, NC 28117(704) 662-3967(704) 662-3975 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeshore Internal Medicine NPPES

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

LAKESHORE INTERNAL MEDICINE (NPI 1912287467) is a healthcare organization registered as an internal medicine in Mooresville, North Carolina and active in the NPI registry since August 2011. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1912287467
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOORESVILLE PPM LLC
Location Address157 PROFESSIONAL PARK DR, SUITE AMooresville, NC 28117-5605
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7000 · Fax (615) 628-6877
Phone(704) 662-3967
Fax(704) 662-3975
Organization SubpartYes
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateAugust 27, 2011
Last NPPES UpdateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
✔ NPI 1912287467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
157 PROFESSIONAL PARK DR, Mooresville, NC 28117
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Other Names 1

Doing Business AsLakeshore Internal 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

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 4

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

MS. EMILY JONES MCAULEY RN, MSN, FNP-C
Nurse Practitioner (Family)
157 PROFESSIONAL PARK DR, SUITE A
MOORESVILLE, NC 28117
Iredell County (704) 662-3967
LAURA ENGLERT SABATINO PT
Physical Therapist
157 PROFESSIONAL PARK DR, SUITE B
MOORESVILLE, NC 28117
Iredell County (704) 658-1095
JAMES B ALLEN III M.D.
Internal Medicine
157 PROFESSIONAL PARK DR, SUITE A
MOORESVILLE, NC 28117
Iredell County (704) 662-3967
DR. BRENNA R OLBERDING PT, DPT
Physical Therapist
157 PROFESSIONAL PARK DR, SUITE B
MOORESVILLE, NC 28117
Iredell County (704) 658-1095

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 1912287467. It was assigned to this organization in the NPPES registry on August 27, 2011. The provider is doing business as Lakeshore Internal Medicine.

Where is Mooresville Ppm LLC located?

Mooresville Ppm LLC is located at 157 Professional Park Dr Suite A, Mooresville, NC 28117. The listed phone number is (704) 662-3967.

What is Mooresville Ppm LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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.