Primary Care Associates Of Byers Creek

LBN: Mooresville Ppm Llc
Primary Care Associates Of Byers Creek is an health care organization with primary practice located at 128 Argus Ln Suite G, Mooresville NC 28117-6972. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mooresville Ppm Llc can be contacted via phone (704) 663-1440, or through Jackson, Jennifer L via phone (615) 465-3334.

Contact Information

Primary practice address
128 Argus Ln Suite G Mooresville NC 28117-6972
Phone: (704) 663-1440
Fax: (704) 663-1445
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (615) 465-3334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1851678767
LBN Legal business name Mooresville Ppm Llc
DBA Doing business as Primary Care Associates Of Byers Creek
Authorized official Jackson, Jennifer L
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 5th, 2011
Last updated Jan 14th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851678767 NPPES
North Carolina MEDICAID 5915049

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