MISSION MEDICAL ASSOCIATES, INC (NPI# 1609280965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609280965 |
| Entity Type | Organization |
| Organization Name | MISSION MEDICAL ASSOCIATES, INC |
| Other Organization Name | MISSION BEHAVIORAL HEALTH-BLUE RIDGE |
| Practice Address |
125 Hospital Dr Spruce Pine NC 28777-3035 |
| Mailing Address |
Po Box 602373 Charlotte NC 28260-2373 |
| Practice Telephone | 8282134502 |
| Practice Fax Number | 8282134540 |
| Mailing Telephone | 8286516415 |
| Mailing Fax Number | 8286516563 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |
| Authorized Official Name | JILL HOGGARD GREEN (PRESIDENT) |
| Authorized Official Telephone | 8282139637 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | MISSION MEDICAL ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| MISSION BEHAVIORAL HEALTH-BLUE RIDGE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649772583 | Mission Medical Associates, Inc | Orthopaedic Surgery | 2315 Asheville Hwy, Hendersonville, NC 28791 | 2018-03-07 |
| 1326581786 | Mission Medical Associates, Inc | Physical Therapist | 63 Monticello Rd, Weaverville, NC 28787-9441 | 2016-12-02 |
| 1770025637 | Mission Medical Associates, Inc | Anesthesiology | 428 Biltmore Ave, Asheville, NC 28801 | 2016-11-09 |
| 1982018248 | Mission Medical Associates, Inc | Counselor | 120 Riverview St, Franklin, NC 28734-2612 | 2014-06-16 |
| 1427462787 | Mission Medical Associates, Inc | Counselor | 260 Hospital Dr, Brevard, NC 28712-3378 | 2014-06-16 |
| 1518371871 | Mission Medical Associates, Inc | Counselor | 190 Hospital Dr, Highlands, NC 28741-7600 | 2014-06-16 |
| 1720491939 | Mission Medical Associates, Inc | Counselor | 428 Biltmore Ave, T107, Asheville, NC 28801-4502 | 2014-06-05 |
| 1548673759 | Mission Medical Associates, Inc | Counselor | 430 Rankin Dr, Suite 10, Marion, NC 28752-6568 | 2014-06-05 |
| 1376963702 | Mission Medical Associates, Inc | Orthopaedic Surgery | 111 Victoria Rd, Asheville, NC 28801-4811 | 2014-04-24 |
| 1013339803 | Mission Medical Associates, Inc | Internal Medicine | 387 Us 70 W, Marion, NC 28752 | 2014-01-13 |
| Street Address |
125 HOSPITAL DR |
| City | SPRUCE PINE |
| State | NC |
| Zip Code | 28777-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204048 | Kaitlyn Hobbs | Speech-Language Pathologist | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2020-08-03 |
| 1790252856 | Mh Blue Ridge Medical Center, Lllp | Medicare Defined Swing Bed Unit | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2018-10-26 |
| 1578048294 | Mh Blue Ridge Medical Center, Lllp | General Acute Care Hospital | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2018-09-27 |
| 1184133100 | Blue Ridge Regional Hospital, Inc | Emergency Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2017-09-21 |
| 1386181006 | Mission Medical Associates, Inc. | Emergency Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2017-01-20 |
| 1447707492 | Blue Ridge Regional Hospital, Inc. | Internal Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2016-09-07 |
| 1093160582 | Timothy Scott Holcomb | Physician Assistant | 125 Hospital Dr, Blue Ridge Regional Hospital, Spruce Pine, NC 28777-3035 | 2016-05-03 |
| 1316323777 | Edward Jay Kauffman | Nurse Practitioner | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2015-08-07 |
| 1992186092 | Blue Ridge Regional Hospital, Inc. | Obstetrics & Gynecology | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2015-06-15 |
| 1467847160 | Stephen Kimmel | Family Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2015-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013405265 | Spruce Pine Chiropractic, Pllc | Clinic/Center | 31 Cross Street, Suite 266, Spruce Pine, NC 28777 | 2018-04-24 |
| 1326463316 | Susan Lynn Lamont | Counselor | 2206 Carters Ridge Rd, Spruce Pine, NC 28777 | 2014-02-27 |
| 1548521115 | Mitchell House One, LLC | Assisted Living Facility | 13681 Hwy 226 South, Spruce Pine, NC 28777 | 2012-05-31 |
| 1245590025 | Lisa Wade Thomas | Hearing Instrument Specialist | 11887 S. P. Shopping Ctr, Spruce Pine, NC 28777 | 2012-05-25 |
| 1972860021 | Laura Lee Freeman | Psychologist | 545 Amity Park Rd., Mt. View Correctional Institute, Spruce Pine, NC 28777 | 2012-04-13 |
| 1326272824 | Brie Michele Folkner | Family Medicine | 537 Altapass Hwy Ste C, Spruce Pine, NC 28777 | 2009-05-12 |
| 1093901290 | Patricia Susan Noser | Nurse Practitioner | 12348 South 226 Highway, Spruce Pine, NC 28777 | 2007-09-20 |
| 1194943092 | Blue Ridge General Surgery, PC | Surgery | 8017 Nineteen E Highway, Spruce Pine, NC 28777 | 2007-04-23 |
| 1528186277 | Bruce Dennis Crawford | Dentist | 600 Amity Park Rd, Dental-avery Mitchell Correctional Institution, Spruce Pine, NC 28777 | 2007-03-27 |
| 1134284755 | Freedom Memorial In-home Monitoring | Durable Medical Equipment & Medical Supplies | 1422 Roan Road, Spruce Pine, NC 28777 | 2006-12-26 |
| Find all providers in zip 28777 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063558252 | Alpha Omega Health Inc | Social Worker | 284 Hospital Dr, Spruce Pine, NC 28777-8944 | 2007-01-29 |
| 1063447886 | Marnie Myers Walters | Social Worker | 167 Locust Ave, Suite 224, Spruce Pine, NC 28777-2711 | 2006-07-11 |
| 1083648042 | Carolina Counseling Associates, LLC | Social Worker | 205 Locust Ave, Suited, Spruce Pine, NC 28777-2713 | 2006-07-10 |
| 1548211907 | Alpha Omega Health, Inc. | Social Worker | 129 Skyview Cir, Spruce Pine, NC 28777-9518 | 2006-05-12 |
| 1831714369 | Cortlin Polo | Social Worker | 215 Skyview Cir, Spruce Pine, NC 28777-9521 | 2020-06-10 |
| 1265816060 | Josette Prisk | Social Worker | 129 Skyview Cir, Spruce Pine, NC 28777-9518 | 2015-07-13 |
| 1780023952 | Focus Behavioral Health Services, LLC | Social Worker | 205 Locust St, Spruce Pine, NC 28777-2713 | 2013-06-20 |
| 1538183488 | Peggy Lynne Robberts | Social Worker | 236 Hospital Dr, Spruce Pine, NC 28777-8944 | 2006-07-26 |
| 1790709798 | John Wesley Hughes | Social Worker | 236 Hospital Dr, Spruce Pine, NC 28777-8944 | 2006-07-26 |
| 1326073156 | Kaitlyn Elizabeth Callahan-king | Social Worker | 205 Locust Ave, Suited, Spruce Pine, NC 28777-2713 | 2006-07-11 |
| Find all providers in SPRUCE PINE | ||||
| City | SPRUCE PINE |
| Zip Code | 28777 |
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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.