NPIMap

Organization Active NPI

Carolina Mountain Medical

  • Specialist
  • Bryson City, NC
National Provider Identifier
1568689826
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAROLINA MOUNTAIN MEDICAL
Practice address
45 Plateau St
Suite 250
Bryson City, NC 28713-6784
Phone
(828) 488-4205
Fax
(828) 488-4240
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Mark A Engel, M.D.NPI 1851352793
Title
Secretary
Phone
(828) 488-4205

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NC Primary

Addresses

Primary practice location

45 Plateau St
Suite 250
Bryson City, NC 28713-6784

Mailing address

45 Plateau St
Suite 250
Bryson City, NC 28713-6784
Phone (828) 488-4205

Other identifiers 1

IdentifierTypeStateIssuer
011XMOtherNCBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568689826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PLATEAU ST",
            "address_2": "SUITE 250",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287136784",
            "telephone_number": "828-488-4205",
            "fax_number": "828-488-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PLATEAU ST",
            "address_2": "SUITE 250",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287136784",
            "telephone_number": "828-488-4205",
            "fax_number": "828-488-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MOUNTAIN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "828-488-4205",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "011XM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryson City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.