Organization Active NPI

Mission Health Community Multispecialty Providers, LLC

  • Internal Medicine Physician
  • Arden, NC
National Provider Identifier
1366912586
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
Practice address
310 Long Shoals Rd Ste 110
Arden, NC 28704-8794
Phone
(828) 213-1740
NPI assigned
Nov 30, 2018
Organization subpart
Yes
Parent organization
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Tedrick Johnson
Title
Group Vice President
Phone
(615) 372-3375

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

310 Long Shoals Rd Ste 110
Arden, NC 28704-8794

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Other practice location 1

472 Rankin Dr
Marion, NC 28752-6568
Phone (828) 213-1740

Other practice location 2

149 W Parker Rd
Morganton, NC 28655-4673
Phone (828) 213-1740

Other practice location 3

128 Dr Henry Norris Dr
Rutherfordton, NC 28139-3165
Phone (828) 213-1740

Other practice location 4

55 Medical Park Dr Ste 114
Franklin, NC 28734-2653
Phone (828) 213-1740

Other practice location 5

190 Riverview St
Franklin, NC 28734-2612
Phone (828) 213-1740

Other practice location 6

260 Hospital Dr
Brevard, NC 28712-3378
Phone (828) 213-1740

Other practice location 7

316 Chestnut St Ste 2
Brevard, NC 28712-3897
Phone (828) 213-1740

Other practice location 8

377 Gallimore Rd
Brevard, NC 28712-8874
Phone (828) 213-1740

Other practice location 9

89 Hospital Dr Ste A
Brevard, NC 28712-4838
Phone (828) 213-1740

Other practice location 10

89 Hospital Dr Ste C
Brevard, NC 28712-4838
Phone (828) 213-1740

Other practice location 11

800 Medical Campus Dr
Burnsville, NC 28714-9010
Phone (828) 213-1740

Other practice location 12

209 Hospital Dr
Highlands, NC 28741-7623
Phone (828) 213-1740

Other practice location 13

209 Hospital Dr Ste 104
Highlands, NC 28741-7622
Phone (828) 213-1740

Other practice location 14

209 Hospital Dr Ste 303
Highlands, NC 28741-7616
Phone (828) 213-1740

Other practice location 15

16825 Rosman Hwy
Lake Toxaway, NC 28747-9593
Phone (828) 213-1740

Other practice location 16

57 White Owl Ln
Cashiers, NC 28717-4514
Phone (828) 213-1740

Other practice location 17

120 Riverview St
Franklin, NC 28734-2612
Phone (828) 213-1740

Other practice location 18

834 Depot St Ste 210
Franklin, NC 28734-0176
Phone (828) 213-1740

Other practice location 19

691 Blythe Street Ct
Hendersonville, NC 28739-4095
Phone (828) 213-1740

Other practice location 20

190 Hospital Dr
Highlands, NC 28741-7600
Phone (828) 213-1740

Other practice location 21

2695 Hendersonville Rd Ste 204
Arden, NC 28704-8576
Phone (828) 213-1740

Other practice location 22

310 Long Shoals Rd Ste 310
Arden, NC 28704-8794
Phone (828) 213-1740

Other practice location 23

30 Choctaw St Ste A
Asheville, NC 28801-4514
Phone (828) 213-1740

Other practice location 24

41 Oakland Rd Ste 100
Asheville, NC 28801-4821
Phone (828) 213-1740

Other practice location 25

428 Biltmore Ave
Asheville, NC 28801-4502
Phone (828) 213-1740

Other practice location 26

428 Biltmore Ave Fl 4
Asheville, NC 28801-4502
Phone (828) 213-1740

Other practice location 27

428 Biltmore Ave Ste U2722nd
Asheville, NC 28801-4502
Phone (828) 213-1740

Other practice location 28

711 New Leicester Hwy
Asheville, NC 28806-1048
Phone (828) 213-1740

Other practice location 29

5 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone (828) 213-1740

Other practice location 30

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1740

Other practice location 31

31 E Medical Ct Ste 2
Marion, NC 28752-4969
Phone (828) 213-1740

Other practice location 32

1388 Sand Hill Rd
Candler, NC 28715-8937
Phone (828) 213-1740

Other practice location 33

159 Medical Park Dr Ste B
Brevard, NC 28712-4191
Phone (828) 213-1740

Other practice location 34

310 Long Shoals Rd Ste 320
Arden, NC 28704-8794
Phone (828) 213-1740

Other practice location 35

1 Hospital Dr Ste 3400
Asheville, NC 28801-4550
Phone (828) 213-1740

Other practice location 36

1 Hospital Dr Ste 4100
Asheville, NC 28801-4550
Phone (828) 213-1740

Other practice location 37

100 Ridgefield Ct
Asheville, NC 28806-2270
Phone (828) 213-1740

Other practice location 38

21 Hospital Dr Fl 4
Asheville, NC 28801-4550
Phone (828) 213-1740

Other practice location 39

187 Medical Park Dr
Brevard, NC 28712-4189
Phone (828) 213-1740

Other practice location 40

21 Hospital Dr Fl 2
Asheville, NC 28801-4550
Phone (828) 213-1740

Other practice location 41

125 Hospital Dr
Spruce Pine, NC 28777-3035
Phone (828) 213-1740

Other practice location 42

1633 Sugar Hill Rd
Marion, NC 28752-5239
Phone (828) 213-1740

Other practice location 43

189 Hospital Dr
Spruce Pine, NC 28777-3035
Phone (828) 213-1740

Other practice location 44

609 Asheville Hwy
Sylva, NC 28779-2747
Phone (828) 213-1740

Other practice location 45

430 Rankin Dr
Marion, NC 28752-6568
Phone (828) 213-1740

Other identifiers 1

IdentifierTypeStateIssuer
02CG9OtherNCBC/BS NC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160426001883 NC Part B Supplier - Clinic/Group Practice 9537468574 Receives reassigned benefits from 953 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 25

National Provider Directory

National Provider Directory
Part of
Mission Health Community Multispecialty Providers LLC

Locations

428 Biltmore Ave
Ste U2722ND
Asheville, NC 28801

551 Brevard Rd
Asheville, NC 28806
Phone (828) 212-7021

691 Blythe Street Ct
Hendersonville, NC 28739
Phone (828) 213-9090

31 E Medical Ct
#2
Marion, NC 28752
Phone (828) 559-0365

609 Asheville Hwy
Sylva, NC 28779
Phone (828) 213-4830

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 289

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

View all 289

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1366912586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406",
            "fax_number": "866-366-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LONG SHOALS RD STE 110",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287048794",
            "telephone_number": "828-213-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "472 Rankin Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287526568",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 W Parker Rd",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554673",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Dr Henry Norris Dr",
            "address_purpose": "LOCATION",
            "city": "Rutherfordton",
            "state": "NC",
            "postal_code": "281393165",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Medical Park Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287342653",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Riverview St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287342612",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287123378",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Chestnut St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287123897",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "377 Gallimore Rd",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287128874",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "89 Hospital Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124838",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "89 Hospital Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124838",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Medical Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "NC",
            "postal_code": "287149010",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Highlands",
            "state": "NC",
            "postal_code": "287417623",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Hospital Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Highlands",
            "state": "NC",
            "postal_code": "287417622",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Hospital Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Highlands",
            "state": "NC",
            "postal_code": "287417616",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16825 Rosman Hwy",
            "address_purpose": "LOCATION",
            "city": "Lake Toxaway",
            "state": "NC",
            "postal_code": "287479593",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 White Owl Ln",
            "address_purpose": "LOCATION",
            "city": "Cashiers",
            "state": "NC",
            "postal_code": "287174514",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Riverview St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287342612",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "834 Depot St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287340176",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "691 Blythe Street Ct",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287394095",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Highlands",
            "state": "NC",
            "postal_code": "287417600",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2695 Hendersonville Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287048576",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Long Shoals Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287048794",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Choctaw St Ste A",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014514",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Oakland Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014821",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 Biltmore Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014502",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 Biltmore Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014502",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 Biltmore Ave Ste U2722nd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014502",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 New Leicester Hwy",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288061048",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Vanderbilt Park Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288031700",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Biltmore Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014601",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 E Medical Ct Ste 2",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287524969",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1388 Sand Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Candler",
            "state": "NC",
            "postal_code": "287158937",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 Medical Park Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124191",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Long Shoals Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287048794",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hospital Dr Ste 3400",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014550",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hospital Dr Ste 4100",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014550",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Ridgefield Ct",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288062270",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Hospital Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014550",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "187 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124189",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Hospital Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014550",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Spruce Pine",
            "state": "NC",
            "postal_code": "287773035",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1633 Sugar Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287525239",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Spruce Pine",
            "state": "NC",
            "postal_code": "287773035",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Asheville Hwy",
            "address_purpose": "LOCATION",
            "city": "Sylva",
            "state": "NC",
            "postal_code": "287792747",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 Rankin Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287526568",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC",
        "enumeration_date": "2018-11-30",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TEDRICK",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-3375"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC",
            "identifier": "02CG9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.