Jonesville Family Medical Center, P.a.

Key facts

NPI

1154437598

Entity type

Organization (NPI type 2)

Primary specialty

Family Medicine Physician 207Q00000X

License

40345 (NC)

Legal business name

JONESVILLE FAMILY MEDICAL CENTER, P.A.

Practice address

4000 S Swaim Street Ext
Jonesville, NC 28642-9418

Phone

(336) 835-6300

Fax

(336) 835-4761

NPI assigned

Aug 21, 2006

Organization subpart

No

Authorized official

Name

Dr. Evan A Ballard, M.D.

Title

Officer

Phone

(336) 835-6300

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Evan Ballard, MD Family Medicine Physician · Jonesville, NC · NPI 1679602130
  NPD (past) FAMILY MEDICINE
• William Alexander Graham IV, M.D. Family Medicine Physician · King, NC · NPI 1659487981
  NPD (past) FAMILY MEDICINE
• Thomas M. Shelburne, M.D. Family Medicine Physician · Jonesville, NC · NPI 1164538567
  NPD (past) FAMILY MEDICINE

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 11, 2007.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1154437598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S SWAIM STREET EXT",
            "city": "JONESVILLE",
            "state": "NC",
            "postal_code": "286429418",
            "telephone_number": "336-835-6300",
            "fax_number": "336-835-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S SWAIM STREET EXT",
            "city": "JONESVILLE",
            "state": "NC",
            "postal_code": "286429418",
            "telephone_number": "336-835-6300",
            "fax_number": "336-835-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONESVILLE FAMILY MEDICAL CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "336-835-6300",
        "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": "40345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "0178A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890178A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "01916",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901916",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, NC

• Hope Recovery Services Inc
• James E Hubbs, DO
• Hugh Chatham Memorial Hospital, Inc
• Hugh Chatham Memorial Hospital, Inc.
• Stefan Daniel Jones, DPT
• Mary Louise Keller, PAC
• Lynn D. Killon, P.A.-C.
• Kim Marie Kinsley, D.O.
• Stephanie Ann Knight
• Lam S. Chu, D.D.S., P.a.

All providers in Jonesville, NC · Family Medicine Physician in North Carolina