Mountain Park Family Practice, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOUNTAIN PARK FAMILY PRACTICE, PLLC

Practice address

90 E Main St Ste 2
Sylva, NC 28779-3030

Phone

(828) 631-3181

Fax

(828) 631-6113

NPI assigned

Sep 18, 2020

Last updated

Sep 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Miller, FNPNPI 1215377908

Title

Provider/Organizer

Phone

(828) 631-3181

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Southern Miller, APRN

  • Nurse Practitioner
  • Sylva, NC
  • NPI 1215377908
  Medicare reassignment NPD Authorized official
• Cheryl N Owen, FNP

  • Family Nurse Practitioner
  • Sylva, NC
  • NPI 1235224692
  Medicare reassignment NPD
• Christina Suzanne Wharton, FNP

  • Family Nurse Practitioner
  • Bryson City, NC
  • NPI 1902464126
  NPD (past)

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1730795493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST STE 2",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287793030",
            "telephone_number": "828-631-3181",
            "fax_number": "828-631-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST STE 2",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287793030",
            "telephone_number": "828-631-3181",
            "fax_number": "828-631-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PARK FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PROVIDER/ORGANIZER",
        "authorized_official_telephone_number": "828-631-3181",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215377908",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mountainparkuc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "mountainparkurgentcare@gmail.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "mountainparkuc@gmail.com",
            "address_1": "190 Thomas Brooks Dr.",
            "city": "Whittier",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mountain Creek Medical
• Mountain Dandelion Counseling PLLC
• Mountain Ear Nose & Throat Associates PA
• Mountain Eye Associates, PLLC.
• Mountain Eye Associates, PLLC. (Mountain Eye Associates)
• Mountain Park Medical Aesthetics & Wellness, PLLC
• Mountain Park Urgent Care & Walk-in Clinic, PLLC
• Mountain Pathology Services PA
• Mountain Soul Counseling, PLLC
• Mountain Surgical Associates

• Family Medicine Physician in Sylva, NC
• Providers in Sylva, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.