NPIMap

Organization Active NPI

Murphy Medical Center, Inc.

  • Hospitalist Physician
  • Murphy, NC
National Provider Identifier
1063629400
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
H0239 Issued in NC
Legal business name
MURPHY MEDICAL CENTER, INC.
Practice address
3990 E US Highway 64 Alt
Murphy, NC 28906-6843
Phone
(828) 837-8161
Fax
(828) 835-7658
NPI assigned
May 16, 2007
Last updated
Jul 15, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MURPHY MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Mike Shaver
Title
Director Or Reimbursement
Phone
(423) 778-4712

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X H0239 NC
Interventional Cardiology Physician 207RI0011X H0239 NC
Hospitalist Physician 208M00000X H0239 NC Primary

Addresses

Primary practice location

3990 E US Highway 64 Alt
Murphy, NC 28906-6843

Mailing address

3990 E US Highway 64 Alt
Murphy, NC 28906-6843
Phone (828) 837-8161

Other identifiers 1

IdentifierTypeStateIssuer
1063629400MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000860 NC Part B Supplier - Clinic/Group Practice 7416856547 Receives reassigned benefits from 163 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Andrews, NC; Hayesville, NC; Murphy, NC

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Part of
Murphy Medical Center in

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1063629400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 E US HIGHWAY 64 ALT",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066843",
            "telephone_number": "828-837-8161",
            "fax_number": "828-835-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 E US HIGHWAY 64 ALT",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066843",
            "telephone_number": "828-837-8161",
            "fax_number": "828-835-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURPHY MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MURPHY MEDICAL CENTER, INC.",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "DIRECTOR OR REIMBURSEMENT",
        "authorized_official_telephone_number": "423-778-4712"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "H0239",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "H0239",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "H0239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063629400",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.