Organization Active NPI

CJC Health Services LLC

  • Family Nurse Practitioner
  • Abingdon, MD
National Provider Identifier
1184075335
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CJC HEALTH SERVICES LLC
Practice address
607 Forfar CT
Abingdon, MD 21009-3043
Phone
(434) 229-8925
NPI assigned
Jun 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Geneva Randolph Cason, DNP, CRNPNPI 1063787422
Title
Chief Executive Officer
Phone
(434) 229-8925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

607 Forfar CT
Abingdon, MD 21009-3043

Mailing address

607 Forfar CT
Abingdon, MD 21009-3043
Phone (434) 229-8925

Other names 1

  • weTreat Urgent Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220526001473 MD Part B Supplier - Clinic/Group Practice 8921486390 Receives reassigned benefits from 1 practitioner
Practice locations: Abingdon, MD

National Provider Directory

National Provider Directory

Locations

2945 Emmorton Rd
Unit 196
Abingdon, MD 21009

7834 Forest Hill Ave
Ste 3
Richmond, VA 23225
Phone (804) 330-5452

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1184075335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 FORFAR CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210093043",
            "telephone_number": "434-229-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 FORFAR CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210093043",
            "telephone_number": "434-229-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJC HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "CASON",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "434-229-8925",
        "authorized_official_credential": "DNP, CRNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "weTreat Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.