MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
NPI 1366912586
Internal Medicine in Arden, NC
About Mission Health Community Multispecialty Providers, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC (NPI 1366912586) is a healthcare organization registered as an internal medicine in Arden, North Carolina and active in the NPI registry since November 2018. The organization maintains 45 additional practice locations and lists Tedrick Johnson, Group Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 45
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mission Health Community Multispecialty Providers, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
822Medicare enrollment records show 822 clinicians reassign Medicare billing to Mission Health Community Multispecialty Providers, LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 392 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 42
Nearest to this location (20)
See all 822Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mission Health Community Multispecialty Providers, LLC's NPI number?
The NPI number for Mission Health Community Multispecialty Providers, LLC is 1366912586. It was assigned to this organization in the NPPES registry on November 30, 2018.
Where is Mission Health Community Multispecialty Providers, LLC located?
Mission Health Community Multispecialty Providers, LLC is located at 310 Long Shoals Rd Ste 110, Arden, NC 28704. The listed phone number is (828) 213-1740.
What is Mission Health Community Multispecialty Providers, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mission Health Community Multispecialty Providers, LLC enrolled in Medicare?
Yes. Mission Health Community Multispecialty Providers, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mission Health Community Multispecialty Providers, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 822 clinicians in 42 Medicare specialties reassign their Medicare billing to Mission Health Community Multispecialty Providers, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (198), Nurse Practitioner (133) and Anesthesiology (99). Of these, 8 practice at this address and 392 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mission Health Community Multispecialty Providers, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Mission Health Community Multispecialty Providers, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mission Health Community Multispecialty Providers, LLC was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mission Health Community Multispecialty Providers, Llc · NPI 1366912586
Internal Medicine organization in Arden, North Carolina. Organization record, active in the CMS NPPES registry since November 30, 2018.
## Identity
- **NPI:** 1366912586 (Entity type: Organization)
- **Enumerated:** November 30, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** Yes (part of Mission Health Community Multispecialty Providers, Llc)
- **Authorized official:** Tedrick Johnson, GROUP VICE PRESIDENT
## Practice location
- **Address:** 310 LONG SHOALS RD STE 110, Arden, NC 28704-8794
- **Phone:** (828) 213-1740
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 822 clinicians in 42 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (198), Nurse Practitioner (133), Anesthesiology (99); 8 practice at this address and 392 within 10 miles; [full list](https://npiprofile.com/npi/1366912586/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2026
- **Other identifiers:** Other 02CG9 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1366912586) · Data from the CMS NPPES public registry.