NPIMap

Organization Active NPI

Mountain Hope Good Shepherd Clinic

  • Primary Care Clinic/Center
  • Sevierville, TN
National Provider Identifier
1477824241
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MOUNTAIN HOPE GOOD SHEPHERD CLINIC
Practice address
312 Prince St
Sevierville, TN 37862-3823
Phone
(865) 774-7684
NPI assigned
Jan 25, 2012
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Mary Vance
Title
Executive Director
Phone
(865) 774-7684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

312 Prince St
Sevierville, TN 37862-3823

Mailing address

312 Prince St
Sevierville, TN 37862-3823
Phone (865) 774-7684

National Provider Directory

National Provider Directory

Locations

312 Prince St
Sevierville, TN 37862
Phone (865) 744-7684

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15627/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1477824241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 PRINCE ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623823",
            "telephone_number": "865-774-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 PRINCE ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623823",
            "telephone_number": "865-774-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HOPE GOOD SHEPHERD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-774-7684"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.