Active NPI
Tallulah Health Center, P.a.
- Family Medicine Physician
- Robbinsville, NC
National Provider Identifier
1558336073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40397
- Legal business name
- TALLULAH HEALTH CENTER, P.A.
- Practice address
- 409 Tallulah Rd
Robbinsville, NC 28771-8500 - Phone
- (828) 479-6434
- Fax
- (828) 479-2917
- NPI assigned
- Feb 19, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia J Johnson, M.D.
- Title
- President
- Phone
- (828) 479-6434
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40397 | NC | Primary |
Addresses
Primary practice location
409 Tallulah Rd
Robbinsville, NC 28771-8500
Mailing address
409 Tallulah Rd
Robbinsville, NC 28771-8500
Phone (828) 479-6434
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02762 | Other | NC | BLUE CROSS PRACTICE NUMBR |
| 7902762 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Robbinsville, NC
- NPI 1528064698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558336073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 TALLULAH RD",
"city": "ROBBINSVILLE",
"state": "NC",
"postal_code": "287718500",
"telephone_number": "828-479-6434",
"fax_number": "828-479-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 TALLULAH RD",
"city": "ROBBINSVILLE",
"state": "NC",
"postal_code": "287718500",
"telephone_number": "828-479-6434",
"fax_number": "828-479-2917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TALLULAH HEALTH CENTER, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "828-479-6434",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "40397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PRACTICE NUMBR",
"identifier": "02762",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7902762",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Robbinsville, NC
- Smoky Mountain Urgent Care PC (Smoky Mountain Urgent Care-Robbinsville)
- Chelsey Sparks
- Stecoah Township Rescue Squad and Fire Department Inc
- Lani Nicole Stover, MD
- Tallulah Health Center, P.a.
- Turning Point Services, Inc.
- Walgreen Co (Walgreens #16110)
- Joseph Jutson Ward, RPH
- Joshua Wayne Watkins, RPSGT, RST, CCSH
- Emily Lauren Welch
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.