NPIMap

Organization Active NPI

Murphy Medical Center, Inc.

Doing business as Erlanger Primary Care - Hayesville

  • Rural Health Clinic/Center
  • Hayesville, NC
National Provider Identifier
1194196550
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MURPHY MEDICAL CENTER, INC.
Doing business as
Erlanger Primary Care - Hayesville
Practice address
146 Hwy 64 E
Hayesville, NC 28904-7300
Phone
(828) 389-3608
NPI assigned
Oct 12, 2015
Last updated
Jul 15, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MURPHY MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Mike Shaver
Title
Director of Reimbursement
Phone
(423) 778-4712

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Rural Health Clinic/Center 261QR1300X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 names 1

  • Erlanger Primary Care - Hayesville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194196550. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Aug 9, 1993 in NC
Enrollment address
146 Highway 64 E
Hayesville, NC 28904-7300
Related CCNs
341328

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Part of
Murphy Group Practice

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ken Conner Individual Corporate DirectorBoard Member Mar 18, 2020
Robert J Maloney Individual Corporate OfficerCoo Sep 28, 2020
Chattanooga Hamilton County Hospital Authority Organization, Chattanooga, TN Operational/Managerial Control Mar 29, 2018 100%
William L Jackson Individual Corporate OfficerCeo & President Sep 18, 2019
W-2 Managing EmployeeCeo & President Sep 18, 2019
Lemon Clyde Williams Individual Corporate DirectorBoard Member Aug 15, 2021
Vicky B Gregg Individual Corporate DirectorBoard Member Nov 22, 2019
Randel Phillip Burns Individual Corporate DirectorBoard Member Feb 27, 2019
Warren Ervin McEwen Individual Corporate DirectorBoard Member Apr 1, 2021
Stephanie Boynton Individual Corporate OfficerFacility Ceo Jun 15, 2020
W-2 Managing EmployeeFacility Ceo Jun 15, 2020
Sheila Chapnerkar Boyington Individual Corporate DirectorVice-Chairman Dec 19, 2019
John Germ Individual Corporate DirectorBoard Member Aug 31, 2019
Lynn S Dejaco Individual Corporate OfficerCfo May 11, 2021
Linda Moss Mines Individual Corporate DirectorChairman Dec 19, 2019
Gregg Gentry Individual Corporate OfficerChief Administrative Officer Jun 7, 1985
Mike Shaver Individual Corporate DirectorDirector of Reimbursement Jul 9, 2022
W-2 Managing EmployeeDirector of Reimbursement Jul 9, 2022
Floyd Chasse Individual Corporate OfficerSVP Human Resources Sep 17, 2015

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1194196550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289060950",
            "telephone_number": "828-837-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HWY 64 E",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289047300",
            "telephone_number": "828-389-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURPHY MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MURPHY MEDICAL CENTER, INC.",
        "enumeration_date": "2015-10-12",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "423-778-4712"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erlanger Primary Care - Hayesville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Erlanger Primary Care - Hayesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayesville, NC

Sources for this page

Verify at the official NPI Registry.