Mountain Island Charter School Inc

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MOUNTAIN ISLAND CHARTER SCHOOL INC

Practice address

13440 Lucia Riverbend Hwy
Mt Holly, NC 28120-9766

Phone

(704) 827-8840

NPI assigned

Jul 6, 2022

Last updated

Jul 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Glenn Byrum Jr.

Title

Executive Director

Phone

(704) 827-8840

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Johnathon Wyatt Friar, ATC, LAT

  • Athletic Trainer
  • Mount Holly, NC
  • NPI 1386261691
  NPD
• Cara M Price, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Mount Holly, NC
  • NPI 1912286378
  NPD (past)
• Alexandria Shepherd, OTR/L

  • Occupational Therapist
  • Mount Holly, NC
  • NPI 1710528054
  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1497488514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13440 LUCIA RIVERBEND HWY",
            "city": "MT HOLLY",
            "state": "NC",
            "postal_code": "281209766",
            "telephone_number": "704-827-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 LUCIA RIVERBEND HWY",
            "city": "MT HOLLY",
            "state": "NC",
            "postal_code": "281209766",
            "telephone_number": "704-827-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN ISLAND CHARTER SCHOOL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "BYRUM",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-827-8840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moose Pharmacy of Mt Holly LLC (Moose Pharmacy of Mt. Holly)
• Moose Pharmacy of Mt Holly LLC (Moose Pharmacy of Mount Holly Long-Term Care)
• Nicole Kristine Morton, LCMHCA
• Mount Holly Dentistry
• Mount Holly Eye Clinic, OD, PA
• Moving Forward Express Health and Homecare Services LLC (Moving Forward Express Learning and Living Center)
• Mt Holly Family Practice Inc
• Myeyedr Optometry of North Carolina, PLLC (MyEyeDr.)
• N&G Transport, LLC
• Michael Jay Navel

• Local Education Agency (LEA) in Mount Holly, NC
• Providers in Mount Holly, NC by specialty
• Local Education Agency (LEA) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.