Georgann Y. Mathis

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

FLC-061-009 Issued in NC

Legal business name

GEORGANN Y. MATHIS

Doing business as

White Oak Family Care Home

Practice address

244 McMahan LN
Bakersville, NC 28705-8178

Phone

(828) 688-2965

Fax

(828) 688-2965

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Georgann Yeager Mathis

Title

Administrator

Phone

(828) 688-2965

Specialties & licenses 1

Addresses

Other names 1

• White Oak Family Care Home Doing business as

Tax ID family

Georgann Y Mathis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Georgann Y. Mathis

  • Adult Care Home Facility
  • Bakersville, NC
  • NPI 1285964155
  NPD tax ID

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1275754491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MCMAHAN LN",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287058178",
            "telephone_number": "828-688-2965",
            "fax_number": "828-688-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 MCMAHAN LN",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287058178",
            "telephone_number": "828-688-2965",
            "fax_number": "828-688-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGANN Y. MATHIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "GEORGANN",
        "authorized_official_middle_name": "YEAGER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-688-2965",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FLC-061-009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Oak Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Bruce Carroll, M.D.
• Charles Nash DDS PA
• Philip Albert Cope, DC
• Donald Kyle Copley, D.M.D
• County of Mitchell
• Georgann Y. Mathis
• Paige Leigh Harris
• Ashley Rebecca Hendrixon-Ward
• Kelsey Elise Hopson, PT, DPT
• Eric Deshane Howard

• Custodial Care Facility in Bakersville, NC
• Providers in Bakersville, NC by specialty
• Custodial Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.