M8D2Rise Eagles Program, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

281050 Issued in NC

Legal business name

M8D2RISE EAGLES PROGRAM, INC

Practice address

2302 W Meadowview Rd
Suite 124 Morehead BLDG.
Greensboro, NC 27407-3721

Phone

(336) 907-7268

Fax

(336) 707-7311

NPI assigned

Feb 27, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Tifanie L. Rudd

Title

Owner

Phone

(336) 907-7268

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1386984375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 W MEADOWVIEW RD",
            "address_2": "SUITE 124 MOREHEAD BLDG.",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073721",
            "telephone_number": "336-907-7268",
            "fax_number": "336-707-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W MEADOWVIEW RD",
            "address_2": "SUITE 124 MOREHEAD BLDG.",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073721",
            "telephone_number": "336-907-7268",
            "fax_number": "336-707-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M8D2RISE EAGLES PROGRAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "TIFANIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-907-7268",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "281050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M. Thomas Jones
• M. Thomas Jones
• M.a.P.P.S.
• M&M Special Services
• M8D 2 Rise, Inc.
• David Odell Mabe, FNPC
• Gerald Branden Mabe
• Martha Linker Mabe, MD
• Mabel & Ollie LLC
• Mabel & Ollie PLLC

• Exclusive Provider Organization in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Exclusive Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.