Active NPI
CJC Health Services LLC
- Family Nurse Practitioner
- Abingdon, MD
National Provider Identifier
1184075335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Geneva Randolph Cason, DNP, CRNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Family Nurse Practitioner | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.