Mihalo PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MIHALO PLLC

Doing business as

Mihalo Medical

Practice address

1271 Old US 1 Hwy
Southern Pines, NC 28387-6308

Phone

(607) 423-3949

NPI assigned

Oct 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Johnson, MDNPI 1740209410

Title

Physician

Phone

(607) 423-3949

Specialties & licenses 1

Addresses

Other names 1

• Mihalo Medical Doing business as

Locations

Practitioners 1

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

• Kenneth M Johnson III, MD

  • Emergency Medicine Physician
  • Southern Pines, NC
  • NPI 1740209410
  NPD Authorized official

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1477375954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 FOX BOX RD",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283943301",
            "telephone_number": "607-423-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 OLD US 1 HWY",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876308",
            "telephone_number": "607-423-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIHALO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "607-423-3949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mihalo Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gregory Julian Mincey, MD

• Health Service Clinic/Center in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.