Organization Active NPI

Mission Medical Associates Inc

Doing business as Mission Weight Management Center

  • Obesity Medicine (Internal Medicine) Physician
  • Clyde, NC
National Provider Identifier
1538545090
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
MISSION MEDICAL ASSOCIATES INC
Doing business as
Mission Weight Management Center
Practice address
360 Hospital Dr
Clyde, NC 28721-0107
Phone
(828) 213-4100
NPI assigned
Aug 7, 2015
Last updated
Aug 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Authorized official

Name
Jill Hoggard Green, RN
Title
Sr. VP
Phone
(828) 213-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RB0002X Primary

Addresses

Primary practice location

360 Hospital Dr
Clyde, NC 28721-0107

Mailing address

PO Box 602373
Charlotte, NC 28260-2373

Other names 1

  • Mission Weight Management Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1538545090",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 HOSPITAL DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287210107",
            "telephone_number": "828-213-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "HOGGARD GREEN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "SR. VP",
        "authorized_official_telephone_number": "828-213-1111",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Weight Management Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clyde, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.