Active NPI
Mission Medical Associates, Inc.
Doing business as MMA Psychiatric Services - Peds
- Pediatrics Physician
- Marion, NC
National Provider Identifier
1568833705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MISSION MEDICAL ASSOCIATES, INC.
- Doing business as
- MMA Psychiatric Services - Peds
- Practice address
- 387 US 70 W
Marion, NC 28752-6202 - Phone
- (828) 213-4502
- Fax
- (828) 213-4540
- NPI assigned
- Oct 14, 2015
- 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
- Jill Hoggard-Green, PHD
- Title
- Senior VP
- Phone
- (828) 213-1111
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | NC |
Addresses
Primary practice location
387 US 70 W
Marion, NC 28752-6202
Mailing address
PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 213-1500
Other names 1
- MMA Psychiatric Services - Peds
National Provider Directory
National Provider DirectoryLocations
387 US 70 W
Marion, NC 28752
Phone (828) 652-6386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445990400000",
"number": "1568833705",
"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",
"telephone_number": "828-213-1500",
"fax_number": "828-651-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "387 US 70 W",
"city": "MARION",
"state": "NC",
"postal_code": "287526202",
"telephone_number": "828-213-4502",
"fax_number": "828-213-4540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION MEDICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-14",
"last_updated": "2015-10-28",
"status": "A",
"authorized_official_last_name": "HOGGARD-GREEN",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "SENIOR VP",
"authorized_official_telephone_number": "828-213-1111",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MMA Psychiatric Services - Peds",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marion, NC
- Mission Medical Associates Inc (Mma Outpatient Neurology)
- Mission Medical Associates Inc (Mma Inpatient Neurology)
- Mission Medical Associates Inc. (Mission Weight Management Center)
- Mission Medical Associates, Inc (Asheville Cardiology Associates - Marion (Pediatrics))
- Mission Medical Associates, Inc (Mission Behavioral Health-McDowell)
- Mission Medical Associates, Inc. (Asheville Cardiology Associates - Marion (Adults))
- Mission Medical Associates, Inc. (Asheville Orthopedics Associates & Mission)
- Mission Ministries Alliance
- Mitchell Family Dental
- Kylie Mitchell, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.