WELLSPRING FAMILY PRACTICE, PA (NPI# 1083756761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083756761 |
| Entity Type | Organization |
| Organization Name | WELLSPRING FAMILY PRACTICE, PA |
| Practice Address |
81 Medical Park Loop Suite 202 Sylva NC 28779-5291 |
| Mailing Address |
Po Box 149 Sylva NC 28779-0149 |
| Practice Telephone | 8285867705 |
| Practice Fax Number | 8285867714 |
| Mailing Telephone | 8285867705 |
| Mailing Fax Number | 8285867714 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-08-07 |
| Authorized Official Name | MR. MATTHEW ALAN MAHAR (OWNER) |
| Authorized Official Telephone | 8285867705 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 200001199 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5950037 | 05 | |
| NC | BCBS-GROUP | 019U1 | 01 |
| Street Address |
81 MEDICAL PARK LOOP SUITE 202 |
| City | SYLVA |
| State | NC |
| Zip Code | 28779-5291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639150238 | Travis A Stuckey | Physician Assistant | 81 Medical Park Loop, Suite 202, Sylva, NC 28779-5291 | 2005-11-10 |
| 1043755903 | North Carolina In-home Partner-ii, LLC | Hospice Care, Community Based | 81 Medical Park Loop, Suite 204, Sylva, NC 28779-5291 | 2017-01-03 |
| 1285007492 | Savannah Merrell | Nurse Practitioner | 81 Medical Park Loop, Ste 202, Sylva, NC 28779-5291 | 2015-11-10 |
| 1477651206 | Katherine C. Hefner | Nurse Practitioner | 81 Medical Park Loop, Ste 202, Sylva, NC 28779-5291 | 2006-09-20 |
| 1750486734 | Mountaincare Urology | Urology | 81 Medical Park Loop, Suite 204, Sylva, NC 28779-5291 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109286 | Kristie Gail Smith | Nurse Practitioner | 98 Cope Creek Rd A-b, Sylva, NC 28779 | 2019-11-18 |
| 1538702667 | Charlie C Lytle | Speech-Language Pathologist | 185 Brick Farm Rd, Sylva, NC 28779 | 2019-10-22 |
| 1174040869 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 516 Parris Branch Rd, Sylva, NC 28779 | 2017-08-24 |
| 1235562133 | Michelle Cooper Cagle | Social Worker | 587 Cope Creek Rd, Sylva, NC 28779 | 2013-08-14 |
| 1336459049 | Sara Ellen Curry | Social Worker | 98 D Cope Creek Road, Sylva, NC 28779 | 2010-10-15 |
| 1902137128 | Skyland House, LLC | Assisted Living Facility | 185 Brickfarm Road, Dillsboro, NC 28779 | 2010-01-28 |
| 1538349931 | Family Preservation Services of North Carolina, Inc. | Psychiatry & Neurology | 206 Marsh Lily Drive, Sylva, NC 28779 | 2007-11-14 |
| 1871783175 | Lauren Jenelle March | Psychologist | 70 Westcare Dr, Sylva, Sylva, NC 28779 | 2007-08-01 |
| 1285836205 | Peter C Buck | Counselor | 132 Ramblewood Dr., Sylva, NC 28779 | 2007-06-01 |
| 1508088873 | Pathways for The Future | Home Health | 525 Mineral Springs Drive, Sylva, NC 28779 | 2007-05-03 |
| Find all providers in zip 28779 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740244680 | Thomas C Wilson | Family Medicine | 47 E Fork Rd, Sylva, NC 28779-9245 | 2006-04-17 |
| 1396717914 | Will L Nash | Family Medicine | 430 Fisher Creek Rd, Sylva, NC 28779-7700 | 2006-02-07 |
| 1265413660 | Matthew Alan Mahar | Family Medicine | 111 Central St, Sylva, NC 28779-5412 | 2005-11-11 |
| 1730795493 | Mountain Park Family Practice, Pllc | Family Medicine | 90 E Main St Ste 2, Sylva, NC 28779-3030 | 2020-09-18 |
| 1669952248 | Kathie B Supik | Family Medicine | 63 Healthcare Dr, Sylva, NC 28779-5120 | 2018-08-14 |
| 1770947004 | Kimberly Alexis Neiheisel | Family Medicine | 293 Hospital Rd, Sylva, NC 28779-5195 | 2016-04-13 |
| 1336502525 | Brittany Pierce Hipkins | Family Medicine | 293 Hospital Rd, Sylva, NC 28779-5195 | 2016-04-04 |
| 1669819355 | Connie J Borgerding | Family Medicine | 98 Doctors Dr Ste 200, Sylva, NC 28779-4502 | 2013-06-04 |
| 1760760300 | Harris Regional Hospital | Family Medicine | 176 Walmart Plz, Sylva, NC 28779-5808 | 2011-08-01 |
| 1780977850 | Ana Maria Gonzalez | Family Medicine | 98 Doctors Dr Ste 200, Sylva, NC 28779-4502 | 2011-05-24 |
| Find all providers in SYLVA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.