Mooresville PPM LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOORESVILLE PPM LLC

Doing business as

Primary Care Associates-Denver

Practice address

5732 Highway 150 E
Denver, NC 28037-6770

Phone

(704) 489-1103

Fax

(704) 489-1104

NPI assigned

Nov 5, 2011

Last updated

Jan 14, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

MOORESVILLE PPM LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Jennifer L Jackson

Title

Sr Dir Prov Enrollment & Onboarding

Phone

(615) 465-3334

Specialties & licenses 1

Addresses

Other names 1

• Primary Care Associates-Denver Doing business as

Part of

Mooresville PPM LLC

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

{
    "created_epoch": "1320451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1679850580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MERIDIAN BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676325",
            "telephone_number": "615-465-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5732 HIGHWAY 150 E",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280376770",
            "telephone_number": "704-489-1103",
            "fax_number": "704-489-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORESVILLE PPM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOORESVILLE PPM LLC",
        "enumeration_date": "2011-11-05",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR DIR PROV ENROLLMENT & ONBOARDING",
        "authorized_official_telephone_number": "615-465-3334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Associates-Denver",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Care Associates-Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Minyard
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• Eileen Mittmann, PT
• Paige Harrison Mohr, DPT
• Krista M Mohrmann
• Jeffrey Taylor Moss, DO
• Matthew Bynum Motteler, O.D.
• Sarah Murchison, MED, LPCA
• Ashlee Nicole Myers
• Nahi Nadra

• Family Medicine Physician in Denver, NC
• Providers in Denver, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.