Organization
MOORESVILLE PPM LLC
Active
Parent organization
MOORESVILLE PPM LLC
Other names
Mooresville Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOORESVILLE PPM LLC
Authorized official
JENNIFER L JACKSON (SR DIR PROV ENROLL & ONBOARDING)
(615) 465-3334
Entity
Organization
Contact information
Practice address
417 E STATESVILLE AVE, MOORESVILLE, NC 28115-2590
(704) 663-2389
(704) 663-4873
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7230
(615) 628-6677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/05/2011
Last updated
01/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us