NPIMap

Organization Active NPI

Jean E Aycock MD PA

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1477822815
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30118 Issued in NC
Legal business name
JEAN E AYCOCK MD PA
Practice address
867 Washington St
Raleigh, NC 27605-1255
Phone
(919) 833-5869
Fax
(919) 833-5859
NPI assigned
Dec 14, 2011
Last updated
Dec 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Dr. Jean Elizabeth Aycock, MDNPI 1538361449
Title
President
Phone
(919) 833-5869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30118 NC Primary

Addresses

Primary practice location

867 Washington St
Raleigh, NC 27605-1255

Mailing address

867 Washington St
Raleigh, NC 27605-1255
Phone (919) 833-5869

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1477822815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051255",
            "telephone_number": "919-833-5869",
            "fax_number": "919-833-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051255",
            "telephone_number": "919-833-5869",
            "fax_number": "919-833-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN E AYCOCK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "AYCOCK",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-833-5869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "30118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.