Mission Medical Associates, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MISSION MEDICAL ASSOCIATES, INC

Practice address

120 Riverview St
Franklin, NC 28734-2612

Phone

(828) 213-4502

Fax

(828) 213-4540

NPI assigned

Jun 16, 2014

Organization subpart

Yes

Parent organization

MISSION MEDICAL ASSOCIATES, INCAs reported in NPPES

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

Authorized official

Name

Jill Hoggard Green, PHD

Title

President

Phone

(828) 213-9637

Specialties & licenses 7

Addresses

Other names 1

• MISSION BEHAVIORAL HEALTH-ANGEL Doing business as

Part of

Mission Medical Assoc Inc

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1982018248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602373",
            "telephone_number": "828-651-6415",
            "fax_number": "828-651-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RIVERVIEW ST",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287342612",
            "telephone_number": "828-213-4502",
            "fax_number": "828-213-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION MEDICAL ASSOCIATES, INC",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "HOGGARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-213-9637",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSION BEHAVIORAL HEALTH-ANGEL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mission Medial Associates Inc
• Mission Medical Associates Inc
• Mission Medical Associates Inc
• Mission Medical Associates Inc
• Mission Medical Associates Inc.
• Jennifer Moorhead, MS, OTR/L
• Leslie Angelique Morgan, PA-C
• Mark H Moriarty, M. D.
• Caroline Elizabeth Morris
• Kerri B Morris

• Clinical Social Worker in Franklin, NC
• Providers in Franklin, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.