Murphy Medical Center, Inc.
Organization Active NPI Rural Health Clinic/Center · Hayesville, NC
NPI 1194196550 · NPPES record last updated Jul 15, 2020
Key facts
- NPI
- 1194196550
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- MURPHY MEDICAL CENTER, INC.
- Practice address
- 146 Hwy 64 E
Hayesville, NC 28904-7300 - Phone
- (828) 389-3608
- NPI assigned
- Oct 12, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- MURPHY MEDICAL CENTER, INC.
Authorized official
- Name
- Mike Shaver
- Title
- Director of Reimbursement
- Phone
- (423) 778-4712
Owners & managing parties with NPI records 6
-
Randel Phillip Burns, M.D.
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 7
Related certifications (CCN) 1
Facilities with the same owner 3
Practitioners 72
-
Katelyn Dillard, PA-C
-
Benjamin Seymour, PA-C
-
Jessica Jordan Bursey, PA-C
-
Aruna Abraham, NURSE PRACTITIONER
-
Rebecca Dawn Boyer, FNP
-
Wendy Yvonne Corso, FNP-BC, ENP-C, EMT-P
-
Ryann Cowart, M.D.
-
Cheryl Anne Fehr-Banks, LCSW
-
Sandy Michelle Gibson, ACNP
-
Stacie Gilmore, MD
-
Brittany L Harrison, PA-C
-
Steven Saul Hauser, M.D.
-
Ashley Kephart Helton, FNP-C
-
Eleanor T Kipp, PMHNP
-
Judith Ann Kunkel, ARNP
-
Garrett Lagan, LCSW, LCAS
-
Kylie Samantha Leek, FNP-BC
-
Marsha Nadine Long, APRN, BC
-
Joseph D Mariano, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Rural health clinic certification: CCN 343460
- Legal name
- MURPHY MEDICAL CENTER INC
- Doing business as
- ERLANGER MURPHY MEDICAL GROUP, HAYESVILLE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Oct 11, 2016
- Last certification
- Oct 7, 2020
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 9, 1993 in NC
- Enrollment address
- 146 Highway 64 E
Hayesville, NC 28904-7300 - Related CCNs
- 341328
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Ken Conner |
Corporate Director |
Mar 18, 2020 | |
| Robert J Maloney |
Corporate Officer |
Sep 28, 2020 | |
| Chattanooga Hamilton County Hospital Authority |
Operational/Managerial Control | Mar 29, 2018 | 100% |
| William L Jackson |
Corporate Officer |
Sep 18, 2019 | |
| W-2 Managing Employee |
Sep 18, 2019 | ||
| Lemon Clyde Williams |
Corporate Director |
Aug 15, 2021 | |
| Vicky B Gregg |
Corporate Director |
Nov 22, 2019 | |
| Randel Phillip Burns |
Corporate Director |
Feb 27, 2019 | |
| Warren Ervin McEwen |
Corporate Director |
Apr 1, 2021 | |
| Stephanie Boynton |
Corporate Officer |
Jun 15, 2020 | |
| W-2 Managing Employee |
Jun 15, 2020 | ||
| Sheila Chapnerkar Boyington |
Corporate Director |
Dec 19, 2019 | |
| John Germ |
Corporate Director |
Aug 31, 2019 | |
| Lynn S Dejaco |
Corporate Officer |
May 11, 2021 | |
| Linda Moss Mines |
Corporate Director |
Dec 19, 2019 | |
| Gregg Gentry |
Corporate Officer |
Jun 7, 1985 | |
| Mike Shaver |
Corporate Director |
Jul 9, 2022 | |
| W-2 Managing Employee |
Jul 9, 2022 | ||
| Floyd Chasse |
Corporate Officer |
Sep 17, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115000860 | NC | Part B Supplier - Clinic/Group Practice | 7416856547 |
Receives reassigned benefits from 163 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Andrews, NC; Hayesville, NC; Murphy, NC |
| O20160620001410 | NC | Part a Provider - Rural Health Clinic | 7416856547 | Practice locations: Hayesville, NC |
National Provider Directory
- Part of
- Murphy Group Practice
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes | ||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
146 Hwy 64 E
Hayesville, NC 28904-7300
Mailing address
PO Box 950
Murphy, NC 28906-0950
Phone (828) 837-4712
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700053865 | Medicaid | NC |
Other names
- Erlanger Primary Care - Hayesville
Other providers in Hayesville, NC
- Michaela Monk
- Keisha Moss-Betteridge
- Katlyn Rose Moss
- Mountain Home Health Services, LLC
- Mountain Home Nursing Service, Inc.
- Mustard Seed Therapy
- Patrick John Nicholson
- Holly Ciara Mingus Noe
- North Carolina Affiliated Services, LLC
- John William O'Neal
All providers in Hayesville, NC · Rural Health Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.