OrganizationActive
Mooresville Ppm, LLC
NPI 1497031322 · Internal Medicine Physician · Mooresville, NC
Provider details
- NPI number
- 1497031322
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Mooresville Ppm, LLC
- Organization subpart
- Yes
- Authorized official
- Jenny Jackson, Sr Dir Prov Enrollmment & Onboardin(615) 465-3334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
478 Williamson Rd
Suite B
Mooresville, NC 28117-8192
Phone: (704) 660-0321
Fax: (704) 660-0765
Street-level locationGet directions
Mailing address
4000 Meridian Blvd
Franklin, TN 37067-6325
Other names (DBA / former)
- Doing business as
- Harbor Internal Mediciine
- Doing business as
- Harbor Internal Mediciine
Registry dates
- Enumerated
- 2011-10-24
- Last updated
- 2022-01-14
- Certified
- 2022-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.