Addiction Navigators PLLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

ADDICTION NAVIGATORS PLLC

Practice address

303 N Centennial Way
Mesa, AZ 85201-6733

Phone

(480) 737-1955

Fax

(480) 219-5347

NPI assigned

Apr 18, 2022

Last updated

Jan 25, 2023By 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

Dr. J Carvel Jackson, DONPI 1942262399

Title

Physician, Sole Member, Owner

Phone

(480) 737-1955

Specialties & licenses 1

Addresses

Other names 1

• Addiction Navigators PLLC Other name

Locations

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.

• J Carvel Jackson, D.O.

  • Addiction Medicine (Internal Medicine) Physician
  • Mesa, AZ
  • NPI 1942262399
  NPD Authorized official

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1467195347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N CENTENNIAL WAY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016733",
            "telephone_number": "480-737-1955",
            "fax_number": "480-219-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CENTENNIAL WAY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016733",
            "telephone_number": "480-737-1955",
            "fax_number": "480-219-5347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3170 S Gilbert Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852865104",
            "country_code": "US",
            "telephone_number": "480-300-7266",
            "fax_number": "818-806-0245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADDICTION NAVIGATORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "CARVEL",
        "authorized_official_title_or_position": "PHYSICIAN, SOLE MEMBER, OWNER",
        "authorized_official_telephone_number": "480-737-1955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addiction Navigators PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Addiction Navigators PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Addiction Medicine (Internal Medicine) Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Addiction Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.