Organization Active NPI

A Made Up Mind Incorporated

  • Case Manager/Care Coordinator
  • Angier, NC
National Provider Identifier
1043721772
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Oct 20, 2017

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.