JK2C, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

JK2C, LLC

Doing business as

Elizabeth City Treatment Center

Practice address

105 Medical Dr
Elizabeth City, NC 27909-3361

Phone

(757) 848-3478

Fax

(757) 394-3094

NPI assigned

Dec 30, 2016

Last updated

Dec 26, 2024By 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

Jay Higham

Title

Ceo

Phone

(214) 365-6112

Specialties & licenses 4

Addresses

Other names 1

• ELIZABETH CITY TREATMENT CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Opioid treatment program

Medicare-enrolled since Jan 14, 2020

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• JK2C, LLC

  dba Ahoskie Treatment Center

  • Community/Behavioral Health Agency
  • Ahoskie, NC
  • NPI 1184181018

  O20200324000066

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

JK2C LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• JK2C, LLC

  dba Ahoskie Treatment Center

  • Community/Behavioral Health Agency
  • Ahoskie, NC
  • NPI 1184181018
  NPD tax ID
• JK2C, LLC

  dba Williamston Treatment Center

  • Community/Behavioral Health Agency
  • Williamston, NC
  • NPI 1942862487
  NPD tax ID
• JK2C, LLC

  dba The Chesapeake Treatment Center

  • Methadone Clinic
  • Chesapeake, VA
  • NPI 1245520717
  NPD tax ID

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1396280350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY ROAD",
            "address_2": "SUITE 600 EAST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443946",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "757-848-3478",
            "fax_number": "757-394-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK2C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "HIGHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6112"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELIZABETH CITY TREATMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ELIZABETH CITY TREATMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Jamieson, NP
• Jan McDonald, M.D. (McDONALD DERMATOLOGY)
• Jason a. Banks, D.D.S., P.a.
• Brooke L Jennings
• Courtney Williams Jennings, PHARM D.
• Courtney Johnson
• Gemini Jewel Johnson, MSW, LCSW
• Kiera Johnson, PHARMD
• Latonia Saunders Johnson, PHD, MSW, LCSW
• Melonie Johnson, RBT

• Substance Use Disorder Rehabilitation Clinic/Center in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.