Active NPI
Jeffrey Stewart Little
- Durable Medical Equipment & Medical Supplies
- Mooresville, NC
National Provider Identifier
1184590762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 125 Commerce Park Rd Ste 104
Mooresville, NC 28117-4818 - Phone
- (704) 360-2467
- NPI assigned
- Oct 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
125 Commerce Park Rd Ste 104
Mooresville, NC 28117-4818
Mailing address
PO Box 4837
Mooresville, NC 28117-4837
Phone (704) 641-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1184590762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4837",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281174837",
"telephone_number": "704-641-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 COMMERCE PARK RD STE 104",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281174818",
"telephone_number": "704-360-2467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "JEFFREY",
"middle_name": "STEWART",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-13",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.