NPIMap

Organization Active NPI

Appalachian Mountain Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Asheville, NC
National Provider Identifier
1619356136
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
Practice address
225 Patton Ave Ste 200
Asheville, NC 28801-2641
Phone
(828) 412-5315
Fax
(877) 846-3861
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Brooke Wells Terbeek
Title
Data Analytics Manager
Phone
(828) 202-5200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

225 Patton Ave Ste 200
Asheville, NC 28801-2641

Mailing address

PO Box 100181
Columbia, SC 29202-3141
Phone (828) 202-5200

Other identifiers 1

IdentifierTypeStateIssuer
1619356136MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160915000079 NC Part B Supplier - Clinic/Group Practice 5395050827 Receives reassigned benefits from 92 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Asheville, NC; Sylva, NC; Robbinsville, NC; Murphy, NC
O20190716003289 NC Part A Provider - Federally Qualified Health Center (FQHC) 5395050827 Practice locations: Asheville, NC

Federally qualified health center certification: CCN 341099

Legal name
APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
Doing business as
MAY'S CARE CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 16, 2019
Last certification
Jul 16, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 21, 2013 in NC
Enrollment address
225 Patton Ave
Asheville, NC 28801-2641

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2120263Appalachian Mountain Health - May'S Care Center225 Patton Avenue, Suite 200, Asheville, NC 28801Certificate of waiverOct 12, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Anne M. Ramirez Individual Corporate DirectorBoard Member Aug 19, 2015
Christiana Tugman Individual Corporate DirectorBoard Member Jun 24, 2015
Operational/Managerial ControlBoard Member Jun 24, 2015
Neil W Garroway Individual Corporate DirectorBoard Member Sep 2, 2015
Operational/Managerial ControlBoard Member Sep 2, 2015
Shannon Cornelius Individual Corporate Director Jan 2, 2019
Jesse T Michel Individual Corporate DirectorBoard Member Sep 2, 2015
Operational/Managerial ControlBoard Member Sep 2, 2015
Shantelle Simpson Individual Corporate OfficerCeo Jan 2, 2022
W-2 Managing EmployeeCeo Jan 2, 2022
Operational/Managerial ControlCeo Jan 2, 2022
Appalachian Mountain Community Health Centers Organization, Asheville, NC Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 9, 2016
Melba Millsaps Individual Corporate Director Dec 1, 2017
Sharon West Individual Corporate DirectorBoard Member Jun 15, 2016
Operational/Managerial ControlBoard Member Jun 15, 2016
Micheal Woods Individual Corporate DirectorBoard Member May 1, 2015
Operational/Managerial ControlBoard Member May 1, 2015
Glenda P Odom Individual Corporate DirectorBoard Member Sep 2, 2015
Operational/Managerial ControlBoard Member Sep 2, 2015

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Appalachian Mountain Community Health CentersAsheville, NC, CCN 341033 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 21, 2013
Appalachian Mountain Community Health CentersAsheville, NC, CCN 341046 Federally qualified health center Operational/Managerial Control (100%) May 1, 2015
Appalachian Mountain Community Health CentersSylva, NC, CCN 341044 Federally qualified health center Operational/Managerial Control (100%) May 1, 2015
Appalachian Mountain Community Health CentersRobbinsville, NC, CCN 341047 Federally qualified health center Operational/Managerial Control (100%) May 1, 2015
Appalachian Mountain Community Health CentersMurphy, NC, CCN 341052 Federally qualified health center Operational/Managerial Control (100%) May 1, 2015

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1619356136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100181",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023141",
            "telephone_number": "828-202-5200",
            "fax_number": "828-479-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PATTON AVE STE 200",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012641",
            "telephone_number": "828-412-5315",
            "fax_number": "877-846-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "TERBEEK",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "WELLS",
        "authorized_official_title_or_position": "DATA ANALYTICS MANAGER",
        "authorized_official_telephone_number": "828-202-5200"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619356136",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.