NPIMap

Organization Active NPI

MH Medical Services, PC

  • Nurse Practitioner
  • Tabor City, NC
National Provider Identifier
1992347157
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MH MEDICAL SERVICES, PC
Practice address
1107 East 5TH St.
Tabor City, NC 28463
Phone
(910) 500-6257
NPI assigned
Oct 9, 2019
Organization subpart
Yes
Parent organization
MH MEDICAL SERVICES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
John Campbell, MD
Title
President
Phone
(802) 857-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1107 East 5TH St.
Tabor City, NC 28463

Mailing address

20 Winooski Falls Way Ste 475
Winooski, VT 05404-2277
Phone (802) 857-0400

Other names 1

  • MHMS at Atlantic Corp Other name

National Provider Directory

National Provider Directory
Tax ID family
MH Medical Services PC10 organizations share this tax ID, including this one
Part of
MH Medical Services PC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1107 E 5th St
Tabor City, NC 28463
Phone (910) 500-6257

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1992347157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WINOOSKI FALLS WAY STE 475",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042277",
            "telephone_number": "802-857-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 EAST 5TH ST.",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "28463",
            "telephone_number": "910-500-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH MEDICAL SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MH MEDICAL SERVICES, PC",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-857-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHMS at Atlantic Corp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tabor City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.