Organization Active NPI

Angel Medical Center, Inc

  • Pain Medicine Physician
  • Franklin, NC
National Provider Identifier
1417314014
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
ANGEL MEDICAL CENTER, INC
Practice address
120 Riverview St
Franklin, NC 28734
Phone
(828) 369-4216
Fax
(828) 369-4418
NPI assigned
Jan 27, 2016
Organization subpart
Yes
Parent organization
ANGEL MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Rhonda A Miller
Title
Vice President-Revenue Cycle
Phone
(828) 651-4144

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X NC
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X NC
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X NC
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X NC
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X NC
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X NC
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X NC
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X NC Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X NC
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X NC
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X NC

Addresses

Primary practice location

120 Riverview St
Franklin, NC 28734

Mailing address

PO Box 1209
Franklin, NC 28744-0569
Phone (828) 213-1500

Other identifiers 1

IdentifierTypeStateIssuer
02CADOtherNCBCBS

Other names 2

  • Mission Health Center Angel Doing business as
  • Mission Pain Management Doing business as

National Provider Directory

National Provider Directory
Part of
Angel Medical Center

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1417314014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287440569",
            "telephone_number": "828-213-1500",
            "fax_number": "828-651-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RIVERVIEW ST",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "28734",
            "telephone_number": "828-369-4216",
            "fax_number": "828-369-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGEL MEDICAL CENTER, INC.",
        "enumeration_date": "2016-01-27",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT-REVENUE CYCLE",
        "authorized_official_telephone_number": "828-651-4144"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02CAD",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Health Center Angel",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.