Individual provider Active NPI

Andrew Jason Doppelt, MD

  • Family Medicine Physician
  • Mooresville, NC
National Provider Identifier
1093218224
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2025-02340 Issued in NC
Practice address
138 Center Square Dr
Mooresville, NC 28117-6591
Phone
(704) 801-6100
NPI assigned
Mar 14, 2018
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2025-02340 NC Primary

Addresses

Primary practice location

138 Center Square Dr
Mooresville, NC 28117-6591

Mailing address

138 Center Square Dr
Mooresville, NC 28117-6591
Phone (704) 801-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230701000192 MO Order and Referring Only - Family PracticePractitioner - Family Practice 9133588692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2023019540MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Health North Market Network LLC Family Medicine CurrentSince Aug 10, 2026 Accepting new patients

Locations

138 Center Square Dr
Mooresville, NC 28117
Phone (704) 801-6001

Interoperability endpoints

  • Direct secure messaging: andrew.doppelt.p1@direct.chccmo.nextgenshare.com
  • Direct secure messaging: andrew.doppelt@115443077021700.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1093218224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 CENTER SQUARE DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176591",
            "telephone_number": "704-801-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CENTER SQUARE DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176591",
            "telephone_number": "704-801-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPPELT",
        "first_name": "ANDREW",
        "middle_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2025-02340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.