Smith Grove United Methodist Church

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

SMITH GROVE UNITED METHODIST CHURCH

Practice address

3492 US Highway 158
Mocksville, NC 27028-7841

Phone

(336) 529-2145

NPI assigned

Jul 22, 2022

Organization subpart

No

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

Authorized official

Name

Lori Stern

Title

Co-Director

Phone

(996) 529-2145

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1356076376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 MAIN ST",
            "city": "COOLEEMEE",
            "state": "NC",
            "postal_code": "270140139",
            "telephone_number": "336-529-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3492 US HIGHWAY 158",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270287841",
            "telephone_number": "336-529-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH GROVE UNITED METHODIST CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "996-529-2145"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Clayton Servis, LPC-A
• Jamie Stallings Shelburne, PHARMD
• Elaine Shelton
• April Dawn Shore, NP
• Christine Marie Stoehr Shugart, MD
• Dakota Nicole Smith, LCSWA
• Gigi Angelica Smith, M.D.
• Tamara Jean Smith, PT
• Solid Ground Counseling, PLLC
• Kellie Duvall Souther

• Non-emergency Medical Transport (VAN) in Mocksville, NC
• Providers in Mocksville, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.