NPIMap

Organization Active NPI

Appalachian Mountain Community Health Centers

Doing business as Tallulah Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Robbinsville, NC
National Provider Identifier
1780064832
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
Doing business as
Tallulah Community Health Center
Practice address
409 Tallulah Rd
Robbinsville, NC 28771-8500
Phone
(828) 479-6434
Fax
(828) 479-2674
NPI assigned
Jun 4, 2015
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Shantelle Simpson
Title
President & Chief Executive Officer
Phone
(828) 202-5200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

409 Tallulah Rd
Robbinsville, NC 28771-8500

Mailing address

PO Box 100181
Columbia, SC 29202-3141
Phone (828) 202-5200

Other identifiers 1

IdentifierTypeStateIssuer
1780064832MedicaidNC

Other names 1

  • Tallulah Community Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160726002436 NC Part A Provider - Federally Qualified Health Center (FQHC) 5395050827 Practice locations: Robbinsville, NC
O20160915000079 NC Part B Supplier - Clinic/Group Practice 5395050827 Receives reassigned benefits from 92 practitioners
6 other NPIs on this enrollment
Practice locations: Asheville, NC; Sylva, NC; Robbinsville, NC; Murphy, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780064832. Details of each certification follow.

Federally qualified health center certification: CCN 341047

Legal name
APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 27, 2016
Last certification
Jul 27, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 21, 2013 in NC
Enrollment address
409 Tallulah Rd
Robbinsville, NC 28771-8500

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory

Locations

225 Patton Ave
Asheville, NC 28801
Phone (828) 412-5315

225 Patton Ave
Ste 200
Asheville, NC 28801
Phone (828) 257-4745

7 McDowell St
Ste 200
Asheville, NC 28801
Phone (828) 257-4745

100 Thomas Heights Rd
Ste 201
Franklin, NC 28734
Phone (828) 202-4400

4048 E US 64 Alt
Ste 1
Murphy, NC 28906
Phone (828) 837-8131

154 Medical Park Loop
Ste A
Sylva, NC 28779
Phone (828) 307-0900

91 Timberlane Rd
Ste 200
Waynesville, NC 28786
Phone (828) 202-4394

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Christiana Tugman Individual Corporate DirectorBoard Member Jun 24, 2015
Operational/Managerial ControlBoard Member Jun 24, 2015
Neil W Garroway Individual Corporate DirectorBoard Member Sep 2, 2015
Operational/Managerial ControlBoard Member Sep 2, 2015
Shannon Cornelius Individual Corporate DirectorBoard Member Jan 2, 2019
Jesse T Michel Individual Corporate DirectorBoard Member Sep 2, 2015
Operational/Managerial ControlBoard Member Sep 2, 2015
Shantelle Simpson Individual Corporate OfficerCeo Jan 2, 2022
W-2 Managing EmployeeCeo Jan 2, 2022
Operational/Managerial ControlCeo Jan 2, 2022
Appalachian Mountain Community Health Centers Organization, Asheville, NC Corporation Operational/Managerial Control May 1, 2015 100%
Melba Millsaps Individual Corporate DirectorBoard Member Dec 1, 2017
Operational/Managerial ControlBoard Member Dec 1, 2017
Sharon West Individual Corporate DirectorBoard Member Dec 1, 2017
Operational/Managerial ControlBoard Member Dec 1, 2017
Micheal Woods Individual Corporate DirectorBoard Member May 1, 2015
Operational/Managerial ControlBoard Member May 1, 2015
Glenda P Odom Individual Corporate DirectorBoard Member Sep 2, 2015
Operational/Managerial ControlBoard Member Sep 2, 2015

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Appalachian Mountain Community Health CentersAsheville, NC, CCN 341033 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 21, 2013
Appalachian Mountain Community Health CentersAsheville, NC, CCN 341046 Federally qualified health center Operational/Managerial Control (100%) May 1, 2015
Appalachian Mountain Community Health CentersSylva, NC, CCN 341044 Federally qualified health center Operational/Managerial Control (100%) May 1, 2015
Appalachian Mountain Community Health CentersMurphy, NC, CCN 341052 Federally qualified health center Operational/Managerial Control (100%) May 1, 2015
May's Care CenterAsheville, NC, CCN 341099 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 9, 2016

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 97

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 97

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1780064832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100181",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023141",
            "telephone_number": "828-202-5200",
            "fax_number": "828-479-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 TALLULAH RD",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "287718500",
            "telephone_number": "828-479-6434",
            "fax_number": "828-479-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "SHANTELLE",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "828-202-5200"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780064832",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallulah Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Robbinsville, NC

Sources for this page

Verify at the official NPI Registry.