Highland Medical Associates, P.a.

Key facts

NPI

1598891665

Entity type

Organization (NPI type 2)

Primary specialty

Medical Physician Assistant 363AM0700X

License

103090 (NC)

Legal business name

HIGHLAND MEDICAL ASSOCIATES, P.A.

Practice address

165 Coolridge Street
Hendersonville, NC 28792-2767

Phone

(828) 694-3939

Fax

(828) 692-0533

NPI assigned

Feb 25, 2007

Organization subpart

No

Authorized official

Name

Mr. Gregory Robert Mesa, PA-C

Title

Partner/Officer

Phone

(828) 694-3939

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Todd I Stone, PA-C Physician Assistant · Hendersonville, NC · NPI 1114910767
  CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · CORPORATE DIRECTOR · W-2 MANAGING EMPLOYEE

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Snyder Medical Physician Assistant · Shelby, NC · NPI 1366817066
  Care Compare group
• Todd I Stone, PA-C Physician Assistant · Hendersonville, NC · NPI 1114910767
  Care Compare group
• Meghan Summey, LCSW MSW Clinical Social Worker · Hendersonville, NC · NPI 1891146445
  Care Compare group
• Ronald Whicker Jr., LCSW, LCAS Clinical Social Worker · Hendersonville, NC · NPI 1093230633
  Care Compare group

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NC

Rural health clinic certification: CCN 348944

Legal name

HIGHLAND MEDICAL ASSOCIATES, P.A.

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Feb 25, 2004

Last certification

Sep 1, 2021

Ownership / control type

1B

Organization structure

Corporation · Proprietary

Incorporated

Sep 17, 2003 in NC

Enrollment address

165 Coolridge St
Hendersonville, NC 28792-2767

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2009.

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1598891665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 COOLRIDGE STREET",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922767",
            "telephone_number": "828-694-3939",
            "fax_number": "828-692-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 COOLRIDGE STREET",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922767",
            "telephone_number": "828-694-3939",
            "fax_number": "828-692-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER/OFFICER",
        "authorized_official_telephone_number": "828-694-3939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

• David Collin Herminghuysen, MD
• Rhonda Patrice Hertwig, CPNP
• Sandra F Hibbs, CNP
• John M Hicks, M.D.
• William Darrell Higgs, CRNA, DMPNA
• Timothy Alan Highley, D.O.
• Cynthia Anne Hildebrand, PA-C
• Carla Ann Hill, LCSW
• Erica K Hill
• James Richard Hill, DNP, FNP-C

All providers in Hendersonville, NC · Medical Physician Assistant in North Carolina