Mooresville Ppm LLC
NPI 1457621799ActiveOrganization· Surgery· Mooresville, NC
Surgery in Mooresville, North Carolina, registered in NPPES in January 2012, part of Mooresville Ppm LLC. The authorized official on file is Jennifer L. Jackson, Sr Dir Prov Enrollment & Onboarding.
Overview
| NPI | 1457621799 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mooresville Ppm LLC |
| NPI issued | Jan 4, 2012 |
| Last updated in NPPES | Jan 14, 2022 |
| Certified by provider | Jan 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Surgery providers in Mooresville
- 1558916395
- 1528403144
- 1598032849
- 1790110146
- 1790727931
- 1336995919
- 1598511172
- 1881440550
- 1902052210
- 1861011033
- 1194700419
- 1932185626