NPIMap

Organization Active NPI

Mountain Ear Nose & Throat Associates PA

  • Specialist
  • Sylva, NC
National Provider Identifier
1619920550
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MOUNTAIN EAR NOSE & THROAT ASSOCIATES PA
Practice address
38 The Village Overlook
Sylva, NC 28779-2616
Phone
(828) 586-7474
Fax
(828) 586-7473
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Mrs. Mistie G Collins
Title
Practice Adminsitrator
Phone
(828) 586-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

38 The Village Overlook
Sylva, NC 28779-2616

Mailing address

38 The Village Overlook
Sylva, NC 28779-2742
Phone (828) 586-7474

Other practice location 1

4451 E US 64 Alt
Murphy, NC 28906-6847
Phone (828) 835-1014

Other practice location 2

7 Walden Ridge Dr Ste 200
Asheville, NC 28803-8591
Phone (828) 458-8100

Other practice location 3

166 Holly Springs Park Dr
Franklin, NC 28734-0719
Phone (828) 524-5599

Other identifiers 4

IdentifierTypeStateIssuer
890207RMedicaidNC
0207ROtherNCBLUE CROSS BLUE SHIELD NC
89016U1MedicaidNC
DA0153OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602000266 NC Part B Supplier - Clinic/Group Practice 4981686219 Receives reassigned benefits from 9 practitioners
Practice locations: Sylva, NC

National Provider Directory

National Provider Directory

Locations

166 Holly Springs Park Dr
Franklin, NC 28734
Phone (828) 349-1539

4451 E US 64 Alt
Murphy, NC 28906
Phone (828) 835-1014

75 Medical Park Ln
Ste B
Murphy, NC 28906
Phone (828) 835-3131

Practitioners & affiliated clinicians

Practitioners 10

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1619920550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 THE VILLAGE OVERLOOK",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287792742",
            "telephone_number": "828-586-7474",
            "fax_number": "828-586-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 THE VILLAGE OVERLOOK",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287792616",
            "telephone_number": "828-586-7474",
            "fax_number": "828-586-7473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4451 E US 64 Alt",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "NC",
            "postal_code": "289066847",
            "country_code": "US",
            "telephone_number": "828-835-1014",
            "fax_number": "828-586-7473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Walden Ridge Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288038591",
            "country_code": "US",
            "telephone_number": "828-458-8100",
            "fax_number": "828-586-7473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Holly Springs Park Dr",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287340719",
            "country_code": "US",
            "telephone_number": "828-524-5599",
            "fax_number": "828-586-7473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN EAR NOSE & THROAT ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MISTIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRACTICE ADMINSITRATOR",
        "authorized_official_telephone_number": "828-586-7474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890207R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "0207R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89016U1",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA0153",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.