Mountain Community Health Partnership Incorporated
Organization Active NPI Federally Qualified Health Center (FQHC) · Burnsville, NC
NPI 1831799667 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1831799667
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
- Practice address
- 71 Blue Ridge LN
Burnsville, NC 28714-7270 - Phone
- (828) 682-8588
- Fax
- (833) 573-2329
- NPI assigned
- Oct 30, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
Authorized official
- Name
- Timothy Evans
- Title
- Ceo
- Phone
- (828) 675-4116
Other NPIs with the same Medicare PAC ID 6
Practitioners 65
-
James Bruce Carroll, M.D.
-
Jacob Jarrett, MMS, PA-C
-
Stephen Kimmel, MD
-
Stephanie Dawn McCurry, LCSW, LCAS
-
Keri Buchanan Norris, PA-C
-
Stephen William North, M.D.
-
Damon G Rouse, PT
-
Kimberly Westall, LPC
-
Tiffany Woody, FNP-C
-
Tiffany Clorice English, LCAS, LCMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Federally qualified health center certification: CCN 341160
- Legal name
- MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 15, 2020
- Last certification
- Dec 15, 2020
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 22, 1974 in NC
- Enrollment address
- 71 Blue Ridge LN
Burnsville, NC 28714-7270
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Angela Michelle Wilson |
Operational/Managerial Control |
Nov 17, 2022 | 100% |
| Timothy a Evans |
Operational/Managerial Control |
Jul 1, 2023 | 100% |
| April Yolei Briggs |
Operational/Managerial Control |
Nov 13, 2024 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201215003329 | NC | Part a Provider - Federally Qualified Health Center (FQHC) | 3678538683 | Practice locations: Burnsville, NC |
| O20210212000422 | NC | Part B Supplier - Clinic/Group Practice | 3678538683 |
Receives reassigned benefits from 30 practitioners Practice locations: Burnsville, NC |
National Provider Directory
- Part of
- Bakersville Comm Med
Locations
285 Georges Fork Rd
Burnsville, NC 28714
Phone (828) 682-2281
11728 S 226 Hwy
Spruce Pine, NC 28777
Phone (828) 765-4201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
71 Blue Ridge LN
Burnsville, NC 28714-7270
Mailing address
PO Box 27
Bakersville, NC 28705-0027
Phone (828) 688-2104
Other providers in Burnsville, NC
- Mountain Community Health Partnership Incorporated
- Mountain Community Health Partnership Incorporated
- Mountain Community Health Partnership Incorporated
- Mountain Community Health Partnership Incorporated
- Mountain Community Health Partnership Incorporated
- Mountain Manor Assisted Living, LLC
- Mountain Medical Arts PLLC
- Jeannette Anne Murray-Peek
- Linda Louise Myers-Reed
- National Mentor Healthcare LLC
All providers in Burnsville, NC · Federally Qualified Health Center (FQHC) in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.