Organization Active NPI

Mission Medical Associates Inc

Doing business as Vista Family Health

  • Family Medicine Physician
  • Arden, NC
National Provider Identifier
1235442286
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MISSION MEDICAL ASSOCIATES INC
Doing business as
Vista Family Health
Practice address
2695 Hendersonville Rd
Suite 204
Arden, NC 28704-8576
Phone
(828) 687-8647
NPI assigned
Jul 20, 2010
Last updated
Oct 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Jill Hoggard Green
Title
VP
Phone
(828) 213-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2695 Hendersonville Rd
Suite 204
Arden, NC 28704-8576

Mailing address

PO Box 602373
Charlotte, NC 28260-2373

Other names 1

  • Vista Family Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1010755Vista Family Health2695 Hendersonville Road Suite 204, Arden, NC 28704Provider-performed microscopyDec 9, 2027

National Provider Directory

National Provider Directory

Locations

2695 Hendersonville Rd
Ste 204
Arden, NC 28704
Phone (828) 687-8647

Practitioners & affiliated clinicians

Practitioners 1

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": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1235442286",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 HENDERSONVILLE RD",
            "address_2": "SUITE 204",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287048576",
            "telephone_number": "828-687-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "HOGGARD GREEN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "828-213-1111"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.