Active NPI
Mission Medical Associates Inc
- Psychiatry Physician
- Marion, NC
National Provider Identifier
1184901266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MISSION MEDICAL ASSOCIATES INC
- Practice address
- 430 Rankin Dr
Marion, NC 28752-6568 - Phone
- (828) 659-5100
- NPI assigned
- Nov 3, 2011
- 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
- Jill Hoggard Green, PHD
- Title
- President
- Phone
- (828) 213-9637
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
430 Rankin Dr
Marion, NC 28752-6568
Mailing address
PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 250-2833
Other names 1
- MMA PSYCHIATRIC SERVICES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374624000000",
"number": "1184901266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602373",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602373",
"telephone_number": "828-250-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 RANKIN DR",
"city": "MARION",
"state": "NC",
"postal_code": "287526568",
"telephone_number": "828-659-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION MEDICAL ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-03",
"last_updated": "2013-07-24",
"status": "A",
"authorized_official_last_name": "HOGGARD GREEN",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "828-213-9637",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MMA PSYCHIATRIC SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marion, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.