NPIMap

Organization Active NPI

Mission Community Anesthesiology Specialists LLC

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1114497344
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Practice address
1 Hospital Dr Ste 4100
Asheville, NC 28801-4550
Phone
(828) 213-1740
NPI assigned
Nov 30, 2018
Last updated
Dec 3, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Carol Hill
Title
Provider Enrollment Specialist
Phone
(828) 651-6579

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Medical Physician Assistant 363AM0700X NU
Surgical Physician Assistant 363AS0400X NU

Addresses

Primary practice location

1 Hospital Dr Ste 4100
Asheville, NC 28801-4550

Mailing address

PO Box 603366
Charlotte, NC 28260-3366

Other practice location 1

30 Choctaw St Ste A
Asheville, NC 28801-4514
Phone (828) 213-1740

Other practice location 2

2695 Hendersonville Rd Ste 204
Arden, NC 28704-8576
Phone (828) 213-1740

Other practice location 3

310 Long Shoals Rd Ste 110
Arden, NC 28704-8794
Phone (828) 213-1740

Other practice location 4

310 Long Shoals Rd Ste 310
Arden, NC 28704-8794
Phone (828) 213-1740

Other practice location 5

316 Chestnut St Ste 2
Brevard, NC 28712-3897
Phone (828) 213-1740

Other practice location 6

32 E Main St
Old Fort, NC 28762-0017
Phone (828) 213-1740

Other practice location 7

339 Nebo School Rd
Nebo, NC 28761-6848
Phone (828) 213-1740

Other practice location 8

360 Hospital Dr
Clyde, NC 28721-0107
Phone (828) 213-1740

Other practice location 9

387 US 70 W
Marion, NC 28752-6202
Phone (828) 213-1740

Other practice location 10

41 Oakland Rd Ste 100
Asheville, NC 28801-4821
Phone (828) 213-1740

Other practice location 11

428 Biltmore Ave
Asheville, NC 28801-4502
Phone (828) 213-1740

Other practice location 12

428 Biltmore Ave Fl 4
Asheville, NC 28801-4502
Phone (828) 213-1740

Other practice location 13

1 Hospital Dr Ste 4200
Asheville, NC 28801-4550
Phone (828) 213-1740

Other practice location 14

100 Ridgefield Ct
Asheville, NC 28806-2270
Phone (828) 213-1740

Other practice location 15

100 Spaulding Rd
Marion, NC 28752-5115
Phone (828) 213-1740

Other practice location 16

430 Rankin Dr
Marion, NC 28752-6568
Phone (828) 213-1740

Other practice location 17

472 Rankin Dr
Marion, NC 28752-6568
Phone (828) 213-1740

Other practice location 18

48 Hospital Dr Unit 2A
Columbus, NC 28722-8657
Phone (828) 213-1740

Other practice location 19

5 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone (828) 213-1740

Other practice location 20

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1740

Other practice location 21

534 Biltmore Ave Ste 110
Asheville, NC 28801-4607
Phone (828) 213-1740

Other practice location 22

55 Medical Park Dr Ste 118
Franklin, NC 28734-2608
Phone (828) 213-1740

Other practice location 23

5623 US 221 S
Marion, NC 28752-7028
Phone (828) 213-1740

Other practice location 24

57 White Owl Ln
Cashiers, NC 28717-4514
Phone (828) 213-1740

Other practice location 25

589 Peniel Rd
Columbus, NC 28722-9470
Phone (828) 213-1740

Other practice location 26

63 Monticello Rd
Weaverville, NC 28787-9441
Phone (828) 213-1740

Other practice location 27

66 Sweeten Creek Road
Asheville, NC 28803
Phone (828) 213-1740

Other practice location 28

691 Blythe Street Ct
Hendersonville, NC 28739-4095
Phone (828) 213-1740

Other practice location 29

7 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone (828) 213-1740

Other practice location 30

800 Medical Campus Dr
Burnsville, NC 28714-9010
Phone (828) 213-1740

Other practice location 31

89 Hospital Dr Ste A
Brevard, NC 28712-4838
Phone (828) 213-1740

Other practice location 32

111 Victoria Rd
Asheville, NC 28801-4811
Phone (828) 213-1740

Other practice location 33

11728 S 226 Hwy
Spruce Pine, NC 28777-8954
Phone (828) 213-1740

Other practice location 34

120 Riverview St
Franklin, NC 28734-2612
Phone (828) 213-1740

Other practice location 35

125 Hospital Dr
Spruce Pine, NC 28777-3035
Phone (828) 213-1740

Other practice location 36

1388 Sand Hill Rd
Candler, NC 28715-8937
Phone (828) 213-1740

Other practice location 37

139 Dr Henry Norris Dr
Rutherfordton, NC 28139-3176
Phone (828) 213-1740

Other practice location 38

149 W Parker Rd
Morganton, NC 28655-4673
Phone (828) 213-1740

Other practice location 39

1633 Sugar Hill Rd Ste 1
Marion, NC 28752-5239
Phone (828) 213-1740

Other practice location 40

189 Hospital Dr
Spruce Pine, NC 28777-3035
Phone (828) 213-1740

Other practice location 41

190 Hospital Dr
Highlands, NC 28741-7600
Phone (828) 213-1740

Other practice location 42

190 Riverview St
Franklin, NC 28734-2612
Phone (828) 213-1740

Other practice location 43

209 Hospital Dr
Highlands, NC 28741-7623
Phone (828) 213-1740

Other practice location 44

222 Asheland Ave
Asheville, NC 28801-4016
Phone (828) 213-1740

Other practice location 45

2315 Asheville Hwy
Hendersonville, NC 28791-1560
Phone (828) 213-1740

Other practice location 46

260 Hospital Dr
Brevard, NC 28712-3378
Phone (828) 213-1740

Other practice location 47

2695 Hendersonville Rd
Arden, NC 28704-8576
Phone (828) 213-1740

Other practice location 48

310 Long Shoals Rd Fl 1
Arden, NC 28704-8794
Phone (828) 213-1740

Other identifiers 1

IdentifierTypeStateIssuer
02CG9OtherNCBCBS

Other names 1

  • Physician Assistant Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160426001883 NC Part B Supplier - Clinic/Group Practice 9537468574 Receives reassigned benefits from 953 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 25

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

View all 25

National Provider Directory

National Provider Directory
Tax ID family
Mission Health Community Multispecialty Providers LLC23 organizations share this tax ID, including this one
Part of
Mission Health Community Multispecialty Providers LLC

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

310 Long Shoals Rd
Fl 1
Arden, NC 28704
Phone (828) 213-9090

1388 Sand Hill Rd
Candler, NC 28715
Phone (828) 213-5335

55 Medical Park Dr
Ste 118
Franklin, NC 28734
Phone (828) 225-7776

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1114497344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603366",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603366",
            "fax_number": "828-681-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR STE 4100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014550",
            "telephone_number": "828-213-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Choctaw St Ste A",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014514",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2695 Hendersonville Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287048576",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Long Shoals Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287048794",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Long Shoals Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287048794",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Chestnut St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287123897",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 E Main St",
            "address_purpose": "LOCATION",
            "city": "Old Fort",
            "state": "NC",
            "postal_code": "287620017",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "339 Nebo School Rd",
            "address_purpose": "LOCATION",
            "city": "Nebo",
            "state": "NC",
            "postal_code": "287616848",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "NC",
            "postal_code": "287210107",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "387 US 70 W",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287526202",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Oakland Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014821",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 Biltmore Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014502",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 Biltmore Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014502",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hospital Dr Ste 4200",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014550",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Ridgefield Ct",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288062270",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Spaulding Rd",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287525115",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 Rankin Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287526568",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "472 Rankin Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287526568",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48 Hospital Dr Unit 2A",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NC",
            "postal_code": "287228657",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Vanderbilt Park Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288031700",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Biltmore Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014601",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "534 Biltmore Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014607",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Medical Park Dr Ste 118",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287342608",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5623 US 221 S",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287527028",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 White Owl Ln",
            "address_purpose": "LOCATION",
            "city": "Cashiers",
            "state": "NC",
            "postal_code": "287174514",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "589 Peniel Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NC",
            "postal_code": "287229470",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Monticello Rd",
            "address_purpose": "LOCATION",
            "city": "Weaverville",
            "state": "NC",
            "postal_code": "287879441",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Sweeten Creek Road",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "28803",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "691 Blythe Street Ct",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287394095",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Vanderbilt Park Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288031700",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Medical Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "NC",
            "postal_code": "287149010",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "89 Hospital Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124838",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Victoria Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014811",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11728 S 226 Hwy",
            "address_purpose": "LOCATION",
            "city": "Spruce Pine",
            "state": "NC",
            "postal_code": "287778954",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Riverview St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287342612",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Spruce Pine",
            "state": "NC",
            "postal_code": "287773035",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1388 Sand Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Candler",
            "state": "NC",
            "postal_code": "287158937",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Dr Henry Norris Dr",
            "address_purpose": "LOCATION",
            "city": "Rutherfordton",
            "state": "NC",
            "postal_code": "281393176",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 W Parker Rd",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554673",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1633 Sugar Hill Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287525239",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Spruce Pine",
            "state": "NC",
            "postal_code": "287773035",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Highlands",
            "state": "NC",
            "postal_code": "287417600",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Riverview St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287342612",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Highlands",
            "state": "NC",
            "postal_code": "287417623",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Asheland Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014016",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2315 Asheville Hwy",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287911560",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287123378",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2695 Hendersonville Rd",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287048576",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Long Shoals Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287048794",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "828-651-6579"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02CG9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician Assistant",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Physician Assistant",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 3, 2018; 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.