Organization Active NPI

Health and Healing Medical Services, PC

  • Primary Care Clinic/Center
  • Whiteville, TN
National Provider Identifier
1083806574
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
DO0000001690 Issued in TN
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3370122OtherTNMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.