Southern Family Medicine, Inc.
NPI 1881144590 · Community/Behavioral Health Agency · Mooresville, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Family Medicine, Inc. is a Community/Behavioral Health Agency organization in Mooresville, NC (NPI 1881144590).
Provider details
- NPI number
- 1881144590
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Angela Micolucci, Ceo(704) 953-4890
Specialties & taxonomies
Agencies
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 160 Baker RdHigh Point, NC 27263-2758Phone: (336) 307-4075Fax: (363) 307-3745
- 121 Country LnMocksville, NC 27028-2588Phone: (336) 677-3900Fax: (336) 677-3909
Registry dates
- Enumerated
- 2016-10-05
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Frequently asked questions
- What is Southern Family Medicine, Inc.'s NPI number?
- Southern Family Medicine, Inc.'s National Provider Identifier (NPI) is 1881144590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Family Medicine, Inc.?
- Southern Family Medicine, Inc. is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Southern Family Medicine, Inc. located?
- Southern Family Medicine, Inc.'s practice location on file with NPPES is 400 E Statesville Ave Ste 200, Mooresville, NC 28115-2588.
- What is Southern Family Medicine, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Southern Family Medicine, Inc. is (704) 360-8486.
- Does Southern Family Medicine, Inc. accept Medicare?
- Southern Family Medicine, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Family Medicine, Inc.?
- The authorized official listed on Southern Family Medicine, Inc.'s NPPES record is Angela Micolucci, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Family Medicine, Inc.'s NPI active?
- Yes — Southern Family Medicine, Inc.'s NPI (1881144590) is active in the NPPES registry as of the last update on 2026-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.