Active NPI
A Made Up Mind Incorporated
- Case Manager/Care Coordinator
- Angier, NC
National Provider Identifier
1043721772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- A MADE UP MIND INCORPORATED
- Practice address
- 156 Plainview Pointe Dr
Angier, NC 27501-9766 - Phone
- (919) 224-9612
- Fax
- (919) 224-9612
- NPI assigned
- Oct 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nyia McGhee Johnson
- Title
- President/Ceo
- Phone
- (919) 224-9612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NC | Primary |
Addresses
Primary practice location
156 Plainview Pointe Dr
Angier, NC 27501-9766
Mailing address
PO Box 1911
Angier, NC 27501-1911
Phone (919) 224-9612
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508457600000",
"number": "1043721772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1911",
"city": "ANGIER",
"state": "NC",
"postal_code": "275011911",
"telephone_number": "919-224-9612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 PLAINVIEW POINTE DR",
"city": "ANGIER",
"state": "NC",
"postal_code": "275019766",
"telephone_number": "919-224-9612",
"fax_number": "919-224-9612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A MADE UP MIND INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-20",
"last_updated": "2017-10-20",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "NYIA",
"authorized_official_middle_name": "MCGHEE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "919-224-9612",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Angier, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.