LIFESPAN INCORPORATED (NPI# 1770007213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770007213 |
| Entity Type | Organization |
| Organization Name | LIFESPAN INCORPORATED |
| Practice Address |
532 Pleasant Valley Rd Murphy NC 28906-2501 |
| Mailing Address |
1511 Shopton Rd Ste A Charlotte NC 28217-3240 |
| Practice Telephone | 7049445100 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Authorized Official Name | ROBIN DEVORE (VP CORPORATE COMPLIANCE AND PROGRAM) |
| Authorized Official Telephone | 7049445100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL020075 | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144717018 | Lifespan Incorporated | Community/Behavioral Health | 3529 Hatwynn Rd, Charlotte, NC 28269-1329 | 2018-04-17 |
| 1851888721 | Lifespan Incorporated | Community/Behavioral Health | 4322 Fairview Rd, Andrews, NC 28901-8114 | 2018-04-17 |
| 1316434285 | Lifespan Incorporated | Community/Behavioral Health | 944 Nc Highway 141, Murphy, NC 28906-6878 | 2018-04-17 |
| 1811484884 | Lifespan Incorporated | Community/Behavioral Health | 264 Lillie Ln, Canton, NC 28716-7900 | 2018-04-16 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1144683210 | Lifespan Incorporated | Community/Behavioral Health | 14020 Us 19, Andrews, NC 28901-8005 | 2016-04-05 |
| 1770070740 | Lifespan Incorporated | Community/Behavioral Health | 78 Market St, Maggie Valley, NC 28751-8594 | 2018-04-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIFESPAN INCORPORATED | 1511 Shopton Rd Ste A, Charlotte, NC 28217-3240 |
| Street Address |
532 PLEASANT VALLEY RD |
| City | MURPHY |
| State | NC |
| Zip Code | 28906-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441433 | Paul Lawrence Gaddis | Counselor | 750 Hwy 64 East, Murphy, NC 28906 | 2020-09-14 |
| 1366079998 | Clinic On Wheels | Nurse Practitioner | 17 Peachtree Stree, Suite 3, Murphy, NC 28906 | 2020-03-24 |
| 1033757646 | Kristen Beasley Shuler | Nurse Practitioner | 4048 Us Hwy 64 Alternate, Suite 1, Murphy, NC 28906 | 2019-12-13 |
| 1477197556 | Ashley Crowder | Nurse Practitioner | 3990 East Us Highway 64 Alternate, Murphy, NC 28906 | 2019-11-01 |
| 1255989414 | Amy Utley | Physical Therapy Assistant | Pro Motion Rehab, 2810 W Us-64 Suite 1, Murphy, NC 28906 | 2019-08-30 |
| 1760905053 | Marlana Baker | Physical Therapy Assistant | 1787 W Us Hwy 64, Suite 3, Murphy, NC 28906 | 2017-07-19 |
| 1659802445 | Ruslan Garcia | Internal Medicine | 4048 E U.S. Highway 64 Alternate, Suite 1, Murphy, NC 28906 | 2017-03-23 |
| 1124481007 | Laura Maegan White | Dietitian, Registered | 3990 E U.S. Highway 64 Alternate, Murphy, NC 28906 | 2016-03-30 |
| 1437520392 | Murphy Medical Center, Inc. | Family Medicine | 183b Ledford Street, No Mail Receptacle, Murphy, NC 28906 | 2015-10-16 |
| 1134565872 | David J. Mock, Md, Pa | Clinic/Center | 3765 E Hwy 64 Alt, Suite 9, Murphy, NC 28906 | 2013-05-21 |
| Find all providers in zip 28906 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316434285 | Lifespan Incorporated | Community/Behavioral Health | 944 Nc Highway 141, Murphy, NC 28906-6878 | 2018-04-17 |
| 1538519665 | D. Duncan Sumpter, PC | Community/Behavioral Health | 234 High School Cir, Murphy, NC 28906-5110 | 2016-06-20 |
| 1144670274 | D. Duncan Sumpter, PC | Community/Behavioral Health | 315 Valley River Ave, Murphy, NC 28906-2922 | 2016-06-20 |
| 1548890346 | Lifespan Inc | Community/Behavioral Health | 1669 Hendrix Rd, Murphy, NC 28906-3664 | 2020-01-21 |
| 1972994184 | D. Duncan Sumpter, P.C. | Community/Behavioral Health | 750 W Us Highway 64, Murphy, NC 28906-8115 | 2015-02-10 |
| 1790173672 | Carollina Wellth, Inc | Community/Behavioral Health | 281 Valley River Ave, Murphy, NC 28906-2920 | 2014-12-31 |
| 1053623322 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 120 View Pointe Dr, Murphy, NC 28906-8621 | 2010-07-02 |
| 1841449758 | D. Duncan Sumpter | Community/Behavioral Health | 750 W Us Highway 64, Murphy, NC 28906-8115 | 2008-09-16 |
| 1033308093 | Carolina Mountain Psychiatric Assoc | Community/Behavioral Health | 281 Valley River Ave, Murphy, NC 28906-2920 | 2007-10-16 |
| 1861518797 | D Duncan Sumpter PC, Dba Appalachian Counseling | Community/Behavioral Health | 750 W Us Highway 64, Murphy, NC 28906-8115 | 2007-03-22 |
| Find all providers in MURPHY | ||||
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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.