Organization Active NPI

Mission Medical Associates Inc

Doing business as MyCarePlus - Candler

  • Family Medicine Physician
  • Candler, NC
National Provider Identifier
1477812345
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MISSION MEDICAL ASSOCIATES INC
Doing business as
MyCarePlus - Candler
Practice address
1388 Sand Hill Road
Suite 110
Candler, NC 28715
Phone
(828) 213-5335
Fax
(828) 213-5336
NPI assigned
May 11, 2012
Last updated
Aug 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Kristi Sink
Title
VP - Ambulatory/Ancillary Services
Phone
(828) 213-8212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

1388 Sand Hill Road
Suite 110
Candler, NC 28715

Mailing address

PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 250-2833

Other names 1

  • MyCarePlus - Candler Doing business as

National Provider Directory

National Provider Directory

Locations

1388 Sand Hill Rd
Ste 110
Candler, NC 28715
Phone (828) 213-5335

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1477812345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602373",
            "telephone_number": "828-250-2833",
            "fax_number": "828-250-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 SAND HILL ROAD",
            "address_2": "SUITE 110",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "28715",
            "telephone_number": "828-213-5335",
            "fax_number": "828-213-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "SINK",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "VP - AMBULATORY/ANCILLARY SERVICES",
        "authorized_official_telephone_number": "828-213-8212"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyCarePlus - Candler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Candler, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.