Active NPI
Palms Wellness Center
- Psychiatry Physician
- Jacksonville, NC
National Provider Identifier
1255564225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PALMS WELLNESS CENTER
- Practice address
- 2424 Commerce Rd
Jacksonville, NC 28546-7505 - Phone
- (910) 238-4200
- NPI assigned
- Aug 25, 2009
- 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
- Victor R Barnes, M.D.
- Title
- Owner
- Phone
- (910) 238-4200
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
2424 Commerce Rd
Jacksonville, NC 28546-7505
Mailing address
2424 Commerce Rd
Jacksonville, NC 28546-7505
Phone (910) 238-4200
National Provider Directory
National Provider DirectoryLocations
2424 Commerce Rd
Jacksonville, NC 28546
Phone (252) 557-0444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251676800000",
"number": "1255564225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 COMMERCE RD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285467505",
"telephone_number": "910-238-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 COMMERCE RD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285467505",
"telephone_number": "910-238-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMS WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-25",
"last_updated": "2009-08-31",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-238-4200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.