Mooresville Ppm LLC
NPI 1518361914ActiveOrganization· Psychiatry & Neurology, Neurology· Mooresville, NC
Psychiatry & Neurology, Neurology in Mooresville, North Carolina, registered in NPPES in October 2014, part of Mooresville Ppm LLC. The authorized official on file is Jennifer L. Jackson, Sr Dir Prov Enrollment & Onboarding.
Overview
| NPI | 1518361914 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mooresville Ppm LLC |
| NPI issued | Oct 14, 2014 |
| Last updated in NPPES | Jan 14, 2022 |
| Certified by provider | Jan 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
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