Organization Active NPI

Demeter'S Garden PLLC

  • Clinic/Center
  • Asheville, NC
National Provider Identifier
1336914431
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DEMETER'S GARDEN PLLC
Practice address
60 Livingston St Ste 300
Asheville, NC 28801-4400
Phone
(412) 608-4116
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Mary Ellen Gibbons, CRNANPI 1386894913
Title
Owner
Phone
(412) 608-4116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

60 Livingston St Ste 300
Asheville, NC 28801-4400

Mailing address

61 Dillingham Rd
Asheville, NC 28805-1809
Phone (141) 260-8411

Other names 1

  • GOODNIGHT MARY ELLEN PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231207001508 NC Part B Supplier - Clinic/Group Practice 4688023351 Receives reassigned benefits from 2 practitioners
Practice locations: Asheville, NC

National Provider Directory

National Provider Directory

Locations

60 Livingston St
Ste 300
Asheville, NC 28801
Phone (412) 608-4116

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1336914431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DILLINGHAM RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051809",
            "telephone_number": "141-260-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LIVINGSTON ST STE 300",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014400",
            "telephone_number": "412-608-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETER'S GARDEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-608-4116",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOODNIGHT MARY ELLEN PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.