Organization Active NPI

Jonesville Family Medical Center, P.a.

  • Family Medicine Physician
  • Jonesville, NC
National Provider Identifier
1154437598
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40345 Issued in 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
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. Evan A Ballard, M.D.NPI 1538275912
Title
Officer
Phone
(336) 835-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 40345 NC Primary

Addresses

Primary practice location

4000 S Swaim Street Ext
Jonesville, NC 28642-9418

Mailing address

4000 S Swaim Street Ext
Jonesville, NC 28642-9418
Phone (336) 835-6300

National Provider Directory

National Provider Directory

Locations

113 N Crutchfield St
Dobson, NC 27017
Phone (336) 386-4452

Practitioners & affiliated clinicians

Practitioners 4

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.