Orthopaedic Surgery, Orthopaedic Surgery of the Spine
MOORESVILLE PPM LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1497032304 · enumerated 2011-11-05 · record updated 2022-01-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mrs. JENNIFER JACKSON, Sir Dir Prov Enrollment & Onboardin · (615) 465-3334
Other names: LAKE NORMAN ORTHOPEDIC SPINE CENTER
Addresses and phones
- Practice location 170 MEDICAL PARK RD, SUITE 102, MOORESVILLE, NC, 28117-8540 (704) 660-4756 Fax (704) 660-4751 Google Maps Apple Maps OpenStreetMap
- Mailing address 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067-6325 (615) 465-7230 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X
- Orthopaedic Surgery, Orthopaedic Surgery of the Spine 207XS0117X · Primary
In this directory
NC Iredell County Mooresville Orthopaedic Surgery, Orthopaedic Surgery of the Spine
Locations and evidence
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Practice location
MOORESVILLE, NC, 281178540
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.