MOORESVILLE PPM, LLC
NPI 1003567082
Internal Medicine - Interventional Cardiology in Statesville, NC

NPI Status: Active since January 12, 2022

Contact Information

1424 FERN CREEK DR STE D
STATESVILLE, NC
ZIP 28625
Phone: (704) 878-2058
Fax: (704) 872-6576

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  • Organization
  • Internal Medicine
  • Interventional Cardiology

About MOORESVILLE PPM, LLC

This page provides the complete NPI Profile along with additional information for Mooresville Ppm, Llc, an internist established in Statesville, North Carolina operating as a Internal Medicine, focusing in interventional cardiology . The healthcare provider is registered in the NPI registry with number 1003567082 assigned on January 2022. The practitioner's primary taxonomy code is 207RI0011X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jennifer L Jackson (Sr Dir Prov Enroll & Onboarding)

NPI
1003567082
Provider Name
MOORESVILLE PPM, LLC
Entity Type
Organization
Location Address
1424 FERN CREEK DR STE D STATESVILLE, NC 28625
Location Phone
(704) 878-2058
Location Fax
(704) 872-6576
Mailing Address
PO BOX 689022 FRANKLIN, TN 37068
Mailing Phone
(615) 465-7230
Mailing Fax
(704) 872-6576
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-12-2022
Last Update Date
01-12-2022
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An internist like Mooresville Ppm, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Interventional Cardiology

Taxonomy Code
207RI0011X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER L JACKSON

Authorized Official Title
SR DIR PROV ENROLL & ONBOARDING
Authorized Official Phone
(615) 465-3334

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003567082
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200310614016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 1 + 0 + 6 + 1 + 4 + 0 + 1 + 6 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1003567082 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194954925 TORAL SHAH DESAI MD
Individual
Internal Medicine1424 FERN CREEK DR STE D
STATESVILLE, NC 28625
(704) 838-7080
1538358916MS. CLAUDIA LYN BURKHALTER FNP
Individual
Nurse Practitioner (Family)1424 FERN CREEK DR STE D
STATESVILLE, NC 28625
(704) 838-7080
1124192406 DAVID V KELLER PA-C
Individual
Physician Assistant1424 FERN CREEK DR STE D
STATESVILLE, NC 28625
(704) 878-2058
1457657868STATESVILLE HMA MEDICAL GROUP, LLC
Organization
Internal Medicine1424 FERN CREEK DR STE D
STATESVILLE, NC 28625
(704) 838-7080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003567082, enumerated in the NPI registry as an "organization" on January 12, 2022

The provider is located at 1424 Fern Creek Dr Ste D Statesville, Nc 28625 and the phone number is (704) 878-2058

This medical organization specializes in Internal Medicine with taxonomy code 207RI0011X with a focus in Interventional Cardiology

This NPI record was last updated on January 12, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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