OrganizationActive
Mooresville Ppm LLC
NPI 1790110146 · Surgery Physician · Mooresville, NC
Mooresville Ppm LLC is a Surgery Physician organization in Mooresville, NC (NPI 1790110146).
Provider details
- NPI number
- 1790110146
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Mooresville Ppm LLC
- Organization subpart
- Yes
- Authorized official
- Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding(615) 465-3334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
123 Professional Park Dr Ste 101
Mooresville, NC 28117-5516
Phone: (704) 663-7905
Fax: (704) 360-4954
Street-level locationGet directions
Mailing address
4000 Meridian Blvd
Franklin, TN 37067-6325
Other names (DBA / former)
- Doing business as
- Campbell Surgical
- Doing business as
- Campbell Surgical
Registry dates
- Enumerated
- 2013-09-04
- Last updated
- 2022-01-14
- Certified
- 2022-01-14
Frequently asked questions
- What is Mooresville Ppm LLC's NPI number?
- Mooresville Ppm LLC's National Provider Identifier (NPI) is 1790110146, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mooresville Ppm LLC?
- Mooresville Ppm LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mooresville Ppm LLC located?
- Mooresville Ppm LLC's practice location on file with NPPES is 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516.
- What is Mooresville Ppm LLC's phone number?
- The practice phone number listed in the NPPES registry for Mooresville Ppm LLC is (704) 663-7905.
- Who is the authorized official for Mooresville Ppm LLC?
- The authorized official listed on Mooresville Ppm LLC's NPPES record is Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mooresville Ppm LLC's NPI active?
- Yes — Mooresville Ppm LLC's NPI (1790110146) is active in the NPPES registry as of the last update on 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.