Organization Active NPI

Fountains of Asheville, LLC

Doing business as Fountains Infusion Center

  • Infusion Therapy Clinic/Center
  • Asheville, NC
National Provider Identifier
1093436842
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
FOUNTAINS OF ASHEVILLE, LLC
Doing business as
Fountains Infusion Center
Practice address
70 Peachtree Rd Ste 120
Asheville, NC 28803-3391
Phone
(828) 579-3640
Fax
(828) 579-3641
NPI assigned
Sep 9, 2022
Last updated
Sep 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
George Wade Phillips
Title
Owner/Manager
Phone
(828) 579-3640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

70 Peachtree Rd Ste 120
Asheville, NC 28803-3391

Mailing address

70 Peachtree Rd Ste 120
Asheville, NC 28803-3391
Phone (828) 579-3640

Other names 1

  • Fountains Infusion Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221020000667 NC Part B Supplier - Clinic/Group Practice 4880060524 Receives reassigned benefits from 4 practitioners
Practice locations: Asheville, NC

National Provider Directory

National Provider Directory

Locations

70 Peachtree Rd
Ste 120
Asheville, NC 28803
Phone (828) 579-3640

Practitioners & affiliated clinicians

Practitioners 4

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": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1093436842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PEACHTREE RD STE 120",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033391",
            "telephone_number": "828-579-3640",
            "fax_number": "828-579-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PEACHTREE RD STE 120",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033391",
            "telephone_number": "828-579-3640",
            "fax_number": "828-579-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAINS OF ASHEVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "828-579-3640"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountains Infusion Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.