Organization Active NPI

Mission Medical Associates, Inc.

  • Pediatrics Physician
  • Bryson City, NC
National Provider Identifier
1346585916
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MISSION MEDICAL ASSOCIATES, INC.
Practice address
470 Center St
Suite 200
Bryson City, NC 28713-7752
Phone
(828) 488-4014
Fax
(828) 488-4094
NPI assigned
Dec 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Jill Hoggard Green
Title
President/Coo
Phone
(828) 250-2833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

470 Center St
Suite 200
Bryson City, NC 28713-7752

Mailing address

PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 250-2833

Other names 1

  • Mission Children's Bryson City Doing business as

National Provider Directory

National Provider Directory

Locations

470 Center St
Ste 200
Bryson City, NC 28713
Phone (828) 349-6804

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1346585916",
    "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",
            "telephone_number": "828-250-2833",
            "fax_number": "828-250-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 CENTER ST",
            "address_2": "SUITE 200",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287137752",
            "telephone_number": "828-488-4014",
            "fax_number": "828-488-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "HOGGARD GREEN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "828-250-2833"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Children's Bryson City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryson City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.