Mount Jefferson Family Medicine, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOUNT JEFFERSON FAMILY MEDICINE, P.A.

Practice address

200 Hospital Ave
Suite 3
Jefferson, NC 28640-9244

Phone

(336) 846-7433

Fax

(336) 846-7878

NPI assigned

Jul 6, 2006

Last updated

Dec 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rita D Richardson

Title

Corporate Secretary

Phone

(336) 846-7433

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1114959731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286400369",
            "telephone_number": "336-846-7433",
            "fax_number": "336-846-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL AVE",
            "address_2": "SUITE 3",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409244",
            "telephone_number": "336-846-7433",
            "fax_number": "336-846-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT JEFFERSON FAMILY MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "336-846-7433"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790173A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "0173A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Moss McNeil, CRNA
• Edward J Miller, M.D.
• Kathleen Miller, NP-C
• Alisa A Morgan, LMFT
• James Patrick Mortimer, D.O.
• Mountain Living Adult Care Home
• Mountainlife Home Care, Inc. (MountainLife In-Home Aide Service)
• MSP Boone Clinic, PLLC
• Mt Jefferson Child Development Center
• Uwe Mueller, RN

• Family Medicine Physician in Jefferson, NC
• Providers in Jefferson, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.