Mission Medical Associates Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MISSION MEDICAL ASSOCIATES INC

Doing business as

Haywood Family Medicine

Practice address

490 Hospital Dr
2ND Floor
Clyde, NC 28721-8026

Phone

(828) 456-9006

NPI assigned

Jun 2, 2010

Last updated

Aug 14, 2013By 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

Jill Hoggard Green, D.O.

Title

President

Phone

(828) 213-9637

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Haywood Family Medicine Doing business as

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1760702682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 HOSPITAL DR",
            "address_2": "2ND FLOOR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218026",
            "telephone_number": "828-456-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "HOGGARD GREEN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-213-9637",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915824",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haywood Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mission Hospital, Inc. (Wound Healing and Hyperbaric Center)
• Mission Hospitals, Inc. (Carolina Spine & Neurosurgery Center & Mission)
• Mission Hospitals, Inc. (Asheville Orthopedic Associates & Mission)
• Mission Hospitals, Inc. (Carolina Spine & Neurosurgery Center & Mission)
• Mission Medical Associates Inc (Mission Weight Management Center)
• Mission Medical Associates, Inc. (Asheville Orthopedics Associates & Mission)
• Misty Annarino (Haywood Counseling PLLC)
• Maria Garcia Moore, M.D.
• Amanda Stephanie Morgan, MSN, AGNP-C
• Crystal Nicole Morrow, FNP-BC

• Family Medicine Physician in Clyde, NC
• Providers in Clyde, 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 Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.