Mebane Medical Clinic PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

207Q00000X Issued in NC

Legal business name

MEBANE MEDICAL CLINIC PA

Practice address

1242- C South Fifth Street
Mebane, NC 27302

Phone

(919) 563-3007

Fax

(919) 563-1993

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Deanna Craven Jonse, M.D.

Title

MD/Practice Owner

Phone

(919) 563-3007

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1033398599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242C S FIFTH ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029756",
            "telephone_number": "919-563-3007",
            "fax_number": "919-563-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242- C SOUTH FIFTH STREET",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "27302",
            "telephone_number": "919-563-3007",
            "fax_number": "919-563-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEBANE MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "JONSE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "CRAVEN",
        "authorized_official_title_or_position": "MD/PRACTICE OWNER",
        "authorized_official_telephone_number": "919-563-3007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "207Q00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8946923",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerri Ann McEnroe, PHARMD
• Mebane ASC Investors LLC (Mebane Surgery Center)
• Mebane Behavioral Health, PC
• Mebane Drug Store Inc
• Mebane Family Chiropractic, P.C.
• Mebane Ridge Assisted Living
• Medisolutions, Inc.
• Jennifer E Melerski, PSYD
• Ralph Kojo Mensah, DDS
• Traci Avent Mims, LPTA

• Family Medicine Physician in Mebane, NC
• Providers in Mebane, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.