Organization Active NPI

P&J Foot Care Centers PC

  • Podiatric Clinic/Center
  • Lynchburg, VA
National Provider Identifier
1043253230
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
P&J FOOT CARE CENTERS PC
Practice address
2248 Murrell Road
Lynchburg, VA 24501
Phone
(800) 292-3008
Fax
(330) 629-9181
NPI assigned
Jun 14, 2006
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Jacquelyn Jacobs, D.P.M.NPI 1538111695
Title
Owner
Phone
(800) 292-3008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X NU Primary

Addresses

Primary practice location

2248 Murrell Road
Lynchburg, VA 24501

Mailing address

2248 Murrell Road
Lynchburg, VA 24501
Phone (800) 292-3008

Other identifiers 1

IdentifierTypeStateIssuer
DE1803OtherVARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125001068 VA Part B Supplier - Clinic/Group Practice 8224088737 Receives reassigned benefits from 2 practitioners
Practice locations: Lynchburg, VA; Martinsville, VA

National Provider Directory

National Provider Directory

Locations

2248 Murrell Rd
Lynchburg, VA 24501
Phone (434) 528-1909

2316 Atherholt Rd
Ste 104
Lynchburg, VA 24501
Phone (804) 528-1909

637 E Church St
Martinsville, VA 24112
Phone (276) 632-5123

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1043253230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 MURRELL ROAD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24501",
            "telephone_number": "800-292-3008",
            "fax_number": "330-629-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 MURRELL ROAD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24501",
            "telephone_number": "800-292-3008",
            "fax_number": "330-629-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&J FOOT CARE CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-292-3008",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE1803",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.