NPIMap

Organization Active NPI

MH Medical Services, PC

  • Nurse Practitioner
  • Tobaccoville, NC
National Provider Identifier
1487290201
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MH MEDICAL SERVICES, PC
Practice address
7201 Doral Drive
Tobaccoville, NC 24050
Phone
(336) 777-1559
NPI assigned
Nov 27, 2019
Organization subpart
Yes
Parent organization
MH MEDICAL SERVICES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Authorized official

Name
John Campbell, MD
Title
President
Phone
(802) 857-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

7201 Doral Drive
Tobaccoville, NC 24050

Mailing address

20 Winooski Falls Way
Winooski, VT 05404-2228

Other names 1

  • MHMS at Reynolds American Other name

National Provider Directory

National Provider Directory
Tax ID family
MH Medical Services PC10 organizations share this tax ID, including this one
Part of
MH Medical Services PC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1487290201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WINOOSKI FALLS WAY",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 DORAL DRIVE",
            "city": "TOBACCOVILLE",
            "state": "NC",
            "postal_code": "24050",
            "telephone_number": "336-777-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH MEDICAL SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MH MEDICAL SERVICES, PC",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-857-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHMS at Reynolds American",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tobaccoville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.