Organization Active NPI

Mastercare Medical Center

  • Legal Medicine
  • Jasper, GA
National Provider Identifier
1912041989
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.