MOORESVILLE PPM LLC


Address: 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610
Phone: 7047997811

MOORESVILLE PPM LLC (NPI# 1861769119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861769119
Entity Type Organization
Organization Name MOORESVILLE PPM LLC
Other Organization Name PRIMARY CARE ASSOCIATES OF LAKE NORMAN
Practice Address 202 Williamson Rd
Suite 100
Mooresville
NC 28117-7610
Mailing Address 5811 Pelican Bay Blvd
Suite 500
Naples
FL 34108-2733
Practice Telephone 7047997811
Practice Fax Number 7047997812
Mailing Telephone 2395983131
Mailing Fax Number 2395920438
Enumeration Date 2011-11-30
Last Update Date 2012-11-28
Authorized Official Name MR. MICHAEL L GINGRAS (CREDENTIALING MANAGER)
Authorized Official Telephone 2395983131
Is Organization Subpart Y
Parent Organization Name HEALTH MANAGEMENT ASSOCIATES, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Primary Care Associates of Lake Norman Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851678767 Mooresville Ppm LLC Family Medicine 128 Argus Ln, Suite G, Mooresville, NC 28117-6972 2011-11-05
1588941496 Mooresville Ppm LLC Family Medicine 16630 Northcross Dr, Huntersville, NC 28078-5048 2011-11-05
1710384466 Mooresville Ppm LLC Internal Medicine 134 Medical Park Rd, Suite 108, Mooresville, NC 28117-8526 2014-11-24
1518361914 Mooresville Ppm LLC Psychiatry & Neurology 131 Medical Park Rd Ste 308, Mooresville, NC 28117-8525 2014-10-14
1790110146 Mooresville Ppm LLC Surgery 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 2013-09-04
1457621799 Mooresville Ppm LLC Surgery 131 Medical Park Rd, Suite 303, Mooresville, NC 28117-8522 2012-01-04
1598032849 Mooresville Ppm LLC Surgery 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5524 2011-11-30
1225305576 Mooresville Ppm LLC Family Medicine 396 Williamson Rd, Mooresville, NC 28117-5935 2011-11-30
1740557008 Mooresville Ppm LLC Pediatrics 171 Fairview Rd, Mooresville, NC 28117-9500 2011-11-30
1679850580 Mooresville Ppm LLC Family Medicine 5732 Highway 150 E, Denver, NC 28037-6770 2011-11-05

Office Location

Street Address 202 WILLIAMSON RD
SUITE 100
City MOORESVILLE
State NC
Zip Code 28117-7610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811985807 David E Thome Dentist 202 Williamson Rd, Suite 200, Mooresville, NC 28117-7610 2005-10-12
1124457817 David E Thome Dds Pllc II Dentist 202 Williamson Rd, Suite 200, Mooresville, NC 28117-7610 2013-11-04
1760822233 Dana Troutman Deyton Nurse Practitioner 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 2013-06-28
1770860686 Mooresville Ppm LLC Orthopaedic Surgery 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 2011-11-05
1013930445 Kellie Paxton Dentist 202 Williamson Rd, Suite 202, Mooresville, NC 28117-7610 2006-07-26
1194741991 William Roy Doheny Family Medicine 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 2006-07-14
1205883113 Holly Layman Bernardini Family Medicine 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 2006-05-27
1093793283 Rebecca Jane Appleton Family Medicine 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 2006-01-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891356648 Teleoptometric Service, P.C. Optometrist 392 Talbert Rd, Mooresville, NC 28117 2019-06-24
1992268544 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 392 Talbert Rd., Mooresville, NC 28117 2019-04-10
1982178042 Langtree Endoscopy Center, LLC Clinic/Center 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 2019-01-11
1679044416 May and Associates Therapy Center Psychologist 862 Brawley School Road, Suite 202, Mooresville, NC 28117 2018-12-05
1700360153 Sabrina Chabot Hutchinson Physical Therapist 508 Williamson Rd, Suite 200, Mooresville, NC 28117 2018-09-21
1992284327 Presbyterian Imaging Centers LLC Radiology 106 Langtree Village Dr # 201, Mooresville, NC 28117 2018-08-07
1073091310 Jenelle Donzelli Nemeth Registered Nurse 102 Sapphire Drive, Mooresville, NC 28117 2018-07-30
1912497496 Patsharx LLC Pharmacy 480 River Hwy, Suite A, Mooresville, NC 28117 2018-05-10
1427502434 Counseling Service At Lake Norman, Pllc Community/Behavioral Health 18117 W. Catawba Avenue, Cornelius, NC 28117 2016-08-08
1447605928 Renewal Counseling, Pllc Counselor 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 2016-05-03
Find all providers in zip 28117

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy 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.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346868155 Novant Medical Group, Inc. Family Medicine 106 Corporate Park Dr Ste 200, Mooresville, NC 28117-7134 2020-07-08
1649890468 Carolinas Physicians Network Inc Family Medicine 150 Professional Park Dr Ste 400, Mooresville, NC 28117-5604 2020-04-22
1275080954 Carolinas Physicians Network Inc Family Medicine 119-d-1 Marketplace Avenue, Mooresville, NC 28117-9157 2016-09-09
1063869469 Amber Hicks-thibodeau Family Medicine 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 2016-05-16
1982043535 Gabriel Cyrus Fitton Family Medicine 157 Professional Park Dr Ste A, Mooresville, NC 28117-5606 2013-06-17
1245573807 Anthony John Castiglia Family Medicine 570 Williamson Rd, Suite C, Mooresville, NC 28117-9118 2013-04-02
1851678767 Mooresville Ppm LLC Family Medicine 128 Argus Ln, Suite G, Mooresville, NC 28117-6972 2011-11-05
1790068096 Urgent Cares of America North Carolina Inc. Family Medicine 107 Commons Dr Ste A, Mooresville, NC 28117-9262 2011-09-22
1780822288 Iredell Physician Network LLC Family Medicine 136 Corporate Park Dr, Suite 3h, Mooresville, NC 28117-6959 2009-01-22
1275781726 Carolinas Physicians Network, Inc. Family Medicine 478 Williamson Road, Ste B, Mooresville, NC 28117-9109 2008-09-08
Find all providers in MOORESVILLE

Competitor

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City MOORESVILLE
Zip Code 28117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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