Family Medicine
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 Plan acceptance stays unpublished until the practice reports it.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 1700028982 · enumerated 2009-04-02 · 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, Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
Addresses and phones
- Practice location 131 MEDICAL PARK RD, SUITE 302, MOORESVILLE, NC, 28117-8522 (704) 660-4750 Google Maps Apple Maps OpenStreetMap
- Mailing address 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067-6325 (615) 465-7000 Fax (615) 628-6877 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery, Hand Surgery 207XS0106X
- Orthopaedic Surgery, Orthopaedic Surgery of the Spine 207XS0117X
- Orthopaedic Surgery, Sports Medicine 207XX0005X
- Orthopaedic Surgery 207X00000X · License 22538 NC
- Family Medicine, Sports Medicine 207QS0010X
- Internal Medicine 207R00000X
- Pediatrics 208000000X
- Pediatrics, Neonatal-Perinatal Medicine 2080N0001X
- Physical Medicine & Rehabilitation 208100000X
- Surgery 208600000X
- Physician Assistant 363A00000X
- Nurse Practitioner 363L00000X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
MOORESVILLE, NC, 281178522
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.