Justis Group of Edenton

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

JUSTIS GROUP OF EDENTON

Practice address

905 Cherry St
North Wilkesboro, NC 28659-4251

Phone

(336) 990-0595

NPI assigned

Jul 18, 2015

Organization subpart

No

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

Authorized official

Name

Chrisopher Justis, MD

Title

Owner

Phone

(336) 990-0595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1144604273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 DENBURY DRIVE",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279329670",
            "telephone_number": "336-990-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 CHERRY ST",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594251",
            "telephone_number": "336-990-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIS GROUP OF EDENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "JUSTIS",
        "authorized_official_first_name": "CHRISOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-990-0595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Waddell Johnson
• Sandra Wall Johnson, CADC
• Denise Johnston, NP
• Crystal Easter Jones, NP
• Phillip Landon Jordan
• Alan C Keys, M.D.
• Hassan Ahmad Khan, M.D.
• Cynthia Darlene Kilby-Queen, LCAS, LCMHCA, CADC
• Dennis Kimbleton, MD
• Julie Jeannine Klecker, LCMHC, LPC, PC

• Interventional Pain Medicine Physician in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Interventional Pain Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.