NPIMap

Individual provider Active NPI

Jamie Muckom Anthony, MD

  • Internal Medicine Physician
  • Arden, NC
National Provider Identifier
1215114129
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2012-01507 Issued in NC
Practice address
2695 Hendersonville Rd Ste 200
Arden, NC 28704
Phone
(828) 684-6035
Fax
(828) 654-8152
NPI assigned
Jan 23, 2008
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2012-01507 NC Primary

Addresses

Primary practice location

2695 Hendersonville Rd Ste 200
Arden, NC 28704

Mailing address

PO Box 27877
Salt Lake City, UT 84127-0877
Phone (828) 684-6035

Other identifiers 1

IdentifierTypeStateIssuer
NCB335AOtherNCMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address janthony148017@direct.unc.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130327000083 NC Practitioner - Internal Medicine 3375724776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henderson County Hospital CorporationGroup PAC ID 8123938115, shared by 20 NPIs, 231 clinicians

Practice addresses (Care Compare)

2695 Hendersonville Rd
Arden, NC 28704-8576

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Apr 1, 2013 Accepting new patients
Henderson County Hospital Corporation CurrentSince Sep 1, 2022 Accepting new patients
Henderson County Hospital Corporation CurrentSince Apr 1, 2013 Accepting new patients
Hendersonville Hematology and Oncology@Pardee Past Accepting new patients

Locations

2695 Hendersonville Rd
Ste 200
Arden, NC 28704
Phone (828) 684-6035

2695 Hendersonville Rd
Ste 202
Arden, NC 28704
Phone (828) 694-8420

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1215114129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27877",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270877",
            "telephone_number": "828-684-6035",
            "fax_number": "828-654-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 HENDERSONVILLE RD STE 200",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "28704",
            "telephone_number": "828-684-6035",
            "fax_number": "828-654-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "JAMIE",
        "middle_name": "MUCKOM",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2012-01507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCB335A",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janthony148017@direct.unc.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2695 Hendersonville Rd Ste 200",
            "city": "Arden",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

Verify at the official NPI Registry.