Active NPI
Mission Medical Associates Inc
Doing business as MMA Psychiatric Services
- Psychiatry Physician
- Spruce Pine, NC
National Provider Identifier
1184997355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MISSION MEDICAL ASSOCIATES INC
- Doing business as
- MMA Psychiatric Services
- Practice address
- 125 Hospital Dr
Spruce Pine, NC 28777-3035 - Phone
- (828) 765-4201
- NPI assigned
- Feb 17, 2012
- Last updated
- Jul 24, 2013
- 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
125 Hospital Dr
Spruce Pine, NC 28777-3035
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": "1329436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374624000000",
"number": "1184997355",
"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": "125 HOSPITAL DR",
"city": "SPRUCE PINE",
"state": "NC",
"postal_code": "287773035",
"telephone_number": "828-765-4201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION MEDICAL ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-17",
"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 Spruce Pine, NC
- Mission Hospital Inc. (Mission Children's Specialists)
- Mission Hospital, Inc
- Mission Hospitals Inc (Cancer Care of Western North Carolina - Mission)
- Mission Hospitals Inc (Wound Therapy Center)
- Mission Hospitals, Inc. (Fullerton Genetics Center)
- Mission Medical Associates Inc (MMA Inpatient Neurology)
- Mission Medical Associates Inc (MMA Outpatient Neurology)
- Mission Medical Associates Inc (Mission Weight Management Center)
- Mission Medical Associates, Inc (Mission Behavioral Health-Blue Ridge)
- Mission Medical Associates, Inc. (Mission Emergency Medicine Specialists)
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.