NPIMap

Organization Active NPI

Murphy Medical Center, Inc.

Doing business as MMC Urgent Care

  • Urgent Care Clinic/Center
  • Murphy, NC
National Provider Identifier
1770792137
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
HO239 Issued in NC
Legal business name
MURPHY MEDICAL CENTER, INC.
Doing business as
MMC Urgent Care
Practice address
183A Ledford St
Murphy, NC 28906-6213
Phone
(828) 837-4712
Fax
(828) 837-4808
NPI assigned
May 22, 2007
Last updated
Jul 15, 2020By the provider in NPPES
Organization subpart
No

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
Urgent Care Clinic/Center 261QU0200X HO239 NC Primary

Addresses

Primary practice location

183A Ledford St
Murphy, NC 28906-6213

Mailing address

PO Box 950
Murphy, NC 28906-0950
Phone (828) 837-4712

Other identifiers 2

IdentifierTypeStateIssuer
1770792137MedicaidNC
013E4OtherNCBCBS OF NC

Other names 1

  • MMC URGENT CARE Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040115000860 NC Part B Supplier - Clinic/Group Practice 7416856547 Receives reassigned benefits from 163 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Andrews, NC; Hayesville, NC; Murphy, NC
O20160623002361 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 1770792137. Details of each certification follow.

Rural health clinic certification: CCN 343461

Legal name
MURPHY MEDICAL CENTER INC
Doing business as
ERLANGER MMC URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 12, 2016
Last certification
Oct 8, 2020
Ownership / control type
2B
Organization structure
CorporationProprietary
Incorporated
Aug 9, 1993 in NC
Enrollment address
183A Ledford St
Murphy, NC 28906-6213
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).

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

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

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 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
Vicky B Gregg Individual Corporate DirectorBoard Member Nov 22, 2019
Stephanie Boynton Individual Corporate OfficerFacility Ceo Jun 15, 2020
W-2 Managing EmployeeFacility Ceo Jun 15, 2020
Sheila Chapnerkar Boyington Individual Corporate DirectorBoard Member Dec 18, 2019
Jim Coleman Individual Corporate OfficerPresident and Ceo Jul 1, 2023
Lynn S Dejaco Individual Corporate OfficerCfo and Evp May 11, 2021
Jeff Woodard Individual Corporate OfficerChief Legal Officer, Board Member Jul 1, 2023
Mike Shaver Individual Corporate DirectorDirector of Reimbursement Jul 9, 2015

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.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1770792137",
    "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": "828-837-4712",
            "fax_number": "828-837-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183A LEDFORD ST",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066213",
            "telephone_number": "828-837-4712",
            "fax_number": "828-837-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURPHY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "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": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "HO239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770792137",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "013E4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMC URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MMC URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.