Active NPI
Mastercare Medical Center
- Legal Medicine
- Jasper, GA
National Provider Identifier
1912041989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- Legal business name
- MASTERCARE MEDICAL CENTER
- Practice address
- 12 Sammy McGhee Blvd
Ste. 101
Jasper, GA 30143-7711 - Phone
- (706) 253-3344
- Fax
- (706) 253-3348
- NPI assigned
- Feb 16, 2007
- Last updated
- Nov 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Johra Master
- Title
- Office Manager
- Phone
- (706) 253-3344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | Primary |
Addresses
Primary practice location
12 Sammy McGhee Blvd
Ste. 101
Jasper, GA 30143-7711
Mailing address
12 Sammy McGhee Blvd
Ste. 101
Jasper, GA 30143-7711
Phone (706) 253-3344
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195776000000",
"number": "1912041989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SAMMY MCGHEE BLVD",
"address_2": "STE. 101",
"city": "JASPER",
"state": "GA",
"postal_code": "301437711",
"telephone_number": "706-253-3344",
"fax_number": "706-253-3348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SAMMY MCGHEE BLVD",
"address_2": "STE. 101",
"city": "JASPER",
"state": "GA",
"postal_code": "301437711",
"telephone_number": "706-253-3344",
"fax_number": "706-253-3348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASTERCARE MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2007-11-23",
"status": "A",
"authorized_official_last_name": "MASTER",
"authorized_official_first_name": "JOHRA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-253-3344",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.