Jackson Medical Associates, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5003749 Issued in NC

Legal business name

JACKSON MEDICAL ASSOCIATES, PLLC

Doing business as

Jackson Medical Associates

Practice address

251 Shelton St
Waynesville, NC 28786-3362

Phone

(828) 456-8365

Fax

(855) 422-2581

NPI assigned

May 17, 2018

Organization subpart

No

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

Authorized official

Name

Rebecca Ann Edwards

Title

Practice Manager

Phone

(828) 450-7064

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jackson Medical Associates Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20263/brand/1/csg/1/fhir/r4

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.

• Emily H Crawford, FNP

  • Family Nurse Practitioner
  • Bryson City, NC
  • NPI 1669654190
  NPD

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1144710831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 BONNIE LN",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287798553",
            "telephone_number": "828-989-6668",
            "fax_number": "855-422-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 SHELTON ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863362",
            "telephone_number": "828-456-8365",
            "fax_number": "855-422-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "828-450-7064"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5003749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000670",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mark J Jaben, M.D.
• Jackson County Psychological Services (Haywood County Psychological Services)
• Kurtis Dale James, LCSW, LCAS
• Penny C James, MSW, LCSW, C-CATODSW
• Brooklyn Jamison
• Pamela Sue Jance, RN
• Lori Jazarevic, OTR/L

• Family Nurse Practitioner in Waynesville, NC
• Providers in Waynesville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.