Mountain Laurel Internal Medicine,PA
Organization Active NPI Internal Medicine Physician · Linville, NC
NPI 1255417358 · NPPES record last updated Jul 31, 2024
Key facts
- NPI
- 1255417358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- MOUNTAIN LAUREL INTERNAL MEDICINE,PA
- Practice address
- 2139 Linville Falls Hwy
Linville, NC 28646 - Phone
- (828) 733-0270
- Fax
- (828) 733-9271
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Stephen Lee Bailey, RN
- Title
- Business Manager
- Phone
- (828) 733-0270
Practitioners 1
-
Joseph David Barker, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040923001276 | NC | Part B Supplier - Clinic/Group Practice | 3476521683 |
Receives reassigned benefits from 1 practitioner Practice locations: Linville, NC |
National Provider Directory
Locations
177 New Vale Rd
Newland, NC 28657
Phone (828) 733-0085
Interoperability endpoints
- https://api.platform.athenahealth.com/8893/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Primary Care Clinic/Center | 261QP2300X | 36648 | NC |
Addresses
Primary practice location
2139 Linville Falls Hwy
Linville, NC 28646
Mailing address
PO Box 1045
Linville, NC 28646-1045
Phone (828) 733-0270
Other providers in Linville, NC
- Heather Wagner Jordan
- Linville Emergency Physicians PLLC
- Devereaux Looper
- Ella T Markland
- Ronald McGowan
- Laura C Petche
- Caitlin Silver Porter
- Carol Gail Schaffer
- Susan Ulricke Schleith
- John Clayton Skarda
All providers in Linville, NC · Internal Medicine Physician 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 31, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.