Mission Health Community Multispecialty Providers, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC

Practice address

11 Vanderbilt Park Dr
Asheville, NC 28803-1700

Phone

(828) 213-1700

NPI assigned

Nov 30, 2018

Organization subpart

Yes

Parent organization

MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLCAs reported in NPPES

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

Authorized official

Name

William Tederick Johnson

Title

Group VP/Authorized Official

Phone

(615) 372-3375

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Olson Huff/MMA Psychiatric Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mission Community Anesthesiology Specialists LLC

  • Pulmonary Disease Physician
  • Asheville, NC
  • NPI 1023588258

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Physician Assistant
  • Asheville, NC
  • NPI 1114497344

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Urology Physician
  • Asheville, NC
  • NPI 1235609470

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Clinical Social Worker
  • Asheville, NC
  • NPI 1235609538

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Nurse Practitioner
  • Arden, NC
  • NPI 1255801486

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Vascular Surgery Physician
  • Asheville, NC
  • NPI 1396215539

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Neurology Physician
  • Asheville, NC
  • NPI 1437629664

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Orthopaedic Surgery Physician
  • Asheville, NC
  • NPI 1467922682

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Pediatrics Physician
  • Asheville, NC
  • NPI 1508336157

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Hospitalist Physician
  • Asheville, NC
  • NPI 1518437722

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Obstetrics & Gynecology Physician
  • Asheville, NC
  • NPI 1518437748

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Certified Respiratory Therapist
  • Asheville, NC
  • NPI 1528538766

  O20160426001883

  Same enrollment

Part of

Mission Health Community Multispecialty Providers LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mission Health Community Multispecialty Providers, LLC

  • Anesthesiology Physician
  • Asheville, NC
  • NPI 1457719130
  NPPES parent name

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamen Andrew Cavallier, PA

  • Surgical Physician Assistant
  • Charlotte, NC
  • NPI 1184971400
  NPD
• Lorry L Cizek, PA-C

  • Physician Assistant
  • Asheville, NC
  • NPI 1902898042
  NPD
• William Taylor Hill Jones, M.D.

  • Anesthesiology Physician
  • Asheville, NC
  • NPI 1598876229
  NPD
• Rachel Kaplan Machatton, PA-C

  • Physician Assistant
  • Winston Salem, NC
  • NPI 1841711892
  NPD
• Ronald Ray Magee Jr.

  • Psychiatry Physician
  • Asheville, NC
  • NPI 1982138186

  Psychiatry

  NPD
• Katherine Sarah Mastriani, MD

  • Surgery Physician
  • Charlotte, NC
  • NPI 1639334824
  NPD
• Kate Allison Mattei, P.A.

  • Physician Assistant
  • Asheville, NC
  • NPI 1710160494
  NPD
• Pamela Gutbier Meliski, M.D.

  • Orthopaedic Surgery Physician
  • Asheville, NC
  • NPI 1063694784
  NPD
• Courtney Dawn Mull, MD

  • Family Medicine Physician
  • Marion, NC
  • NPI 1427187004
  NPD
• Benjamin Woody

  • Certified Registered Nurse Anesthetist
  • Asheville, NC
  • NPI 1013543636
  NPD
• Emmett Hughes Culligan

  • Anesthesiology Physician
  • Nashville, TN
  • NPI 1164841961
  NPD
• Joseph Daniel Gottfried, M.D.

  • Internal Medicine Physician
  • Bend, OR
  • NPI 1801829262

  Internal Medicine

  NPD

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

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    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1003386228",
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            "address_purpose": "MAILING",
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            "address_1": "PO BOX 603366",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603366",
            "telephone_number": "828-213-1500",
            "fax_number": "828-681-1575"
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            "telephone_number": "828-213-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Riverview St",
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            "address_1": "190 Riverview St",
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            "address_1": "430 Rankin Dr",
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        {
            "address_1": "100 Spaulding Rd Ste 1",
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        {
            "address_1": "387 US 70 W",
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            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "149 W Parker Rd",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554673",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Hospital Dr",
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            "city": "Spruce Pine",
            "state": "NC",
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            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Spruce Pine",
            "state": "NC",
            "postal_code": "287773035",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2695 Hendersonville Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287048576",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Long Shoals Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287048794",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Long Shoals Rd Ste 310",
            "address_purpose": "LOCATION",
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            "state": "NC",
            "postal_code": "287048794",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
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        {
            "address_1": "310 Long Shoals Rd",
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            "state": "NC",
            "postal_code": "287048794",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Oakland Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014821",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 Biltmore Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014502",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 New Leicester Hwy",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288061048",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Hendersonville Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288031753",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "1 Hospital Dr Ste 3400",
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            "state": "NC",
            "postal_code": "288014550",
            "country_code": "US",
            "telephone_number": "828-213-1740",
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        {
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "89 Hospital Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124838",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287123378",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1388 Sand Hill Rd",
            "address_purpose": "LOCATION",
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            "state": "NC",
            "postal_code": "287158937",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hospital Road",
            "address_purpose": "LOCATION",
            "city": "Cherokee",
            "state": "NC",
            "postal_code": "28719",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "NC",
            "postal_code": "287210107",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Hospital Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "NC",
            "postal_code": "287210107",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
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            "address_1": "428 Biltmore Ave",
            "address_purpose": "LOCATION",
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            "state": "NC",
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            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC",
        "enumeration_date": "2018-11-30",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TEDERICK",
        "authorized_official_title_or_position": "GROUP VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-372-3375"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC",
            "identifier": "02CG9",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003386228",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olson Huff/MMA Psychiatric",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Health and Hospitals
• Mission Health Community Multispecialty Providers, LLC
• Mission Health Community Multispecialty Providers, LLC
• Mission Hositals Inc
• Mission Hospital
• Mission Hospital

• All providers in Asheville, NC
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.