Jacksonville Neurology, PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

E1201 Issued in AR

Legal business name

JACKSONVILLE NEUROLOGY, PA

Practice address

4020 Richards Rd
Suite C
North Little Rock, AR 72117-2650

Phone

(501) 985-1323

Fax

(501) 985-3229

NPI assigned

Jun 18, 2008

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Edward Schultz, M.D.

Title

Ceo/Owner

Phone

(501) 985-1323

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Nancy Irene Thomas, NP

  • Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1306190848
  NPD

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1144481599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 875",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721150875",
            "telephone_number": "501-985-1323",
            "fax_number": "501-985-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 RICHARDS RD",
            "address_2": "SUITE C",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172650",
            "telephone_number": "501-985-1323",
            "fax_number": "501-985-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "501-985-1323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E1201",
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "AR",
            "license": "E1201",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "AR",
            "license": "E1201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132333002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Brittney Jackson
• Martha A Jackson, DPM
• Mekeicha L. Jackson, DT
• Tomasa Latoya Jackson
• Vanessa Jackson
• Feba Miriam Jacob, MD
• Haley B Jaggers, APRN
• Ashar Jalil, DO
• Jada Quincy Jamerson
• James Phillip Jaros

• Neurology Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Neurology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.