OrganizationActive
Aesthetic Anesthesia PA
NPI 1578793840 · Anesthesiology Physician · Mooresville, NC
Provider details
- NPI number
- 1578793840
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Mcmullen, President(704) 928-5174
- License
- 01754 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
340 Riverwood Rd
Mooresville, NC 28117-8896
Phone: (704) 928-5174
Fax: (704) 660-6946
Street-level locationGet directions
Mailing address
340 Riverwood Rd
Mooresville, NC 28117-8896
Other names (DBA / former)
- Doing business as
- Rest Assured Aesthetic Anesthesia
Registry dates
- Enumerated
- 2009-07-21
- Last updated
- 2009-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.