NPIMap

Organization Active NPI

Murphy Medical Center Inc

Doing business as Erlanger Primary Care-Peachtree

  • Rural Health Clinic/Center
  • Murphy, NC
National Provider Identifier
1689209553
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MURPHY MEDICAL CENTER INC
Doing business as
Erlanger Primary Care-Peachtree
Practice address
125 Medical Park LN Ste H
Murphy, NC 28906-6921
Phone
(828) 835-3525
Fax
(828) 321-3973
NPI assigned
Mar 11, 2020
Last updated
Jul 15, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MURPHY MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Mike Shaver
Title
Director of Reimbursement
Phone
(423) 778-4712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

125 Medical Park LN Ste H
Murphy, NC 28906-6921

Mailing address

PO Box 950
Murphy, NC 28906-0950
Phone (828) 835-3900

Other names 1

  • Erlanger Primary Care-Peachtree Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200427002268 NC Part A Provider - Rural Health Clinic 7416856547 Practice locations: Murphy, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689209553. Details of each certification follow.

Rural health clinic certification: CCN 343472

Legal name
MURPHY MEDICAL CENTER INC
Doing business as
ERLANGER PRIMARY CARE PEACHTREE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 6, 2020
Last certification
Oct 6, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Aug 9, 1993 in NC
Enrollment address
125 Medical Park LN
Ste H
Murphy, NC 28906-6921
Related CCNs
341328

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
Murphy Medical Center16 organizations share this tax ID, including this one
Part of
Murphy Medical Center

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Erlanger Health Organization, Chattanooga, TN Chain home office 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Vicky B Gregg Individual Corporate DirectorBoard Member Jul 1, 2023
Stephanie Boynton Individual Corporate OfficerFacility Ceo Jun 15, 2020
W-2 Managing EmployeeFacility Ceo Jun 15, 2020
Sheila Chapnerkar Boyington Individual Corporate DirectorBoard Member Mar 19, 2020
Jim Coleman Individual Corporate OfficerPresident and Ceo Jul 1, 2023
Stephanie Gary Individual Corporate OfficerCfo, Evp Feb 28, 2026
Jeff Woodard Individual Corporate OfficerChief Legal Officer, Board Member Jul 1, 2023
Mike Shaver Individual W-2 Managing EmployeeDirector of Reimbursement Jul 1, 2023

Owners & managing parties with NPI records 11

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

Facilities with the same owner 6

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

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1689209553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289060950",
            "telephone_number": "828-835-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MEDICAL PARK LN STE H",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066921",
            "telephone_number": "828-835-3525",
            "fax_number": "828-321-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURPHY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MURPHY MEDICAL CENTER INC",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "423-778-4712"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erlanger Primary Care-Peachtree",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Erlanger Primary Care-Peachtree",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.