Jacksonville Family Medical Center, PLLC

Primary specialty

Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X

License

36058 Issued in NC

Legal business name

JACKSONVILLE FAMILY MEDICAL CENTER, PLLC

Practice address

2587 Henderson Dr
Jacksonville, NC 28546-5253

Phone

(910) 938-3200

Fax

(910) 938-3043

NPI assigned

Aug 30, 2007

Last updated

Aug 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Verleta R Thomas

Title

Manager

Phone

(910) 938-3200

Specialties & licenses 1

Addresses

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.

• Ricky Allan Thomas, MD

  • Family Medicine Physician
  • Kingsville, TX
  • NPI 1699746925
  NPD (past)

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1205020476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2587 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465253",
            "telephone_number": "910-938-3200",
            "fax_number": "910-938-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2587 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465253",
            "telephone_number": "910-938-3200",
            "fax_number": "910-938-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE FAMILY MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "VERLETA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "910-938-3200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NC",
            "license": "36058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacksonville Children's and Multispecialty Clinic, PA
• Jacksonville Chiropractic & Wellness
• Jacksonville Diagnostic Imaging LLC (Coastal Diagnostic Imaging)
• Jacksonville Digestive Diseases Clinic PA
• Jacksonville Family Medical Center, PLLC
• Jacksonville Obstetrics, Gynecology & Infertility, P.a.
• Jacksonville Optical Co. Inc.
• Jacksonville Oriental Medicine Center
• Jacksonville Orthopedic Clinic, P.a.
• Jacksonville Peak Performance Sports & Physical Therapy, L.L.C.

• Non-Surgical Family Planning Clinic/Center in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Non-Surgical Family Planning Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.