Active NPI
Health and Healing Medical Services, PC
- Primary Care Clinic/Center
- Whiteville, TN
National Provider Identifier
1083806574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- DO0000001690
- Legal business name
- HEALTH AND HEALING MEDICAL SERVICES, PC
- Practice address
- 217 College St
Whiteville, TN 38075-4819 - Phone
- (731) 254-9001
- Fax
- (731) 254-9955
- NPI assigned
- Aug 17, 2007
- Last updated
- Jul 19, 2010
- 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
- Dr. Geroge Mark Mangle, D.O., D.P.M.
- Title
- Owner
- Phone
- (901) 628-6684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | DO0000001690 | TN | Primary |
Addresses
Primary practice location
217 College St
Whiteville, TN 38075-4819
Mailing address
217 College St
Whiteville, TN 38075-4819
Phone (731) 254-9001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3370122 | Other | TN | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
217 College St
Whiteville, TN 38075
Phone (731) 254-9001
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Medical Physician Assistant
- Cookeville, TN
- NPI 1508961301
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1366518938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279497600000",
"number": "1083806574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 COLLEGE ST",
"city": "WHITEVILLE",
"state": "TN",
"postal_code": "380754819",
"telephone_number": "731-254-9001",
"fax_number": "731-254-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 COLLEGE ST",
"city": "WHITEVILLE",
"state": "TN",
"postal_code": "380754819",
"telephone_number": "731-254-9001",
"fax_number": "731-254-9955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH AND HEALING MEDICAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-17",
"last_updated": "2010-07-19",
"status": "A",
"authorized_official_last_name": "MANGLE",
"authorized_official_first_name": "GEROGE",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-628-6684",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O., D.P.M."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TN",
"license": "DO0000001690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "3370122",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.