Individual provider Active NPI

James Jay Nocks, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Kennett Square, PA
National Provider Identifier
1548203425
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
MD011165E Issued in PA
Practice address
920 E Baltimore Pike
Kennett Square, PA 19348-1800
Phone
(610) 388-7407
NPI assigned
Jun 14, 2006
Last updated
May 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X ME123861 FL
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X D0053139 MD
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X MD011165E PA Primary

Addresses

Primary practice location

920 E Baltimore Pike
Kennett Square, PA 19348-1800

Mailing address

920 E Baltimore Pike
Kennett Square, PA 19348-1800
Phone (610) 388-7407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081003000293 PA Practitioner - Psychiatry 0345318325 Reassigns benefits to 4 organizations
I20170306000740 FL Practitioner - Psychiatry 0345318325 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME123861FLMDAddiction Medicine (Psychiatry & Neurology) Physician
MD011165EPAMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Human Services, Inc. CurrentSince Aug 1, 2008 Accepting new patients
Spanish American Civic Association for Equality, Inc CurrentSince Mar 15, 2020 Accepting new patients
Spanish American Civic Association for Equity, Inc Current Accepting new patients
Spanish American Civic Association for Equality, Inc CurrentSince Mar 15, 2020 Accepting new patients
Human Services, Inc CurrentSince Aug 1, 2008 Accepting new patients
Fellowship Health Resources, Inc CurrentSince May 11, 2014 Accepting new patients
Human Services, Inc Current Accepting new patients
Horizon House, Inc. CurrentSince Oct 4, 2021 Accepting new patients
Centralized Comprehensive Human Services, Inc. Current Accepting new patients
Saluscare, Inc. CurrentSince Dec 28, 2016 Accepting new patients
Horizon House - Delaware Inc Past Accepting new patients

Locations

10140 Deer Run Farms Rd
Fort Myers, FL 33966
Phone (239) 275-4242

2789 Ortiz Ave
Fort Myers, FL 33905
Phone (229) 275-3222

3763 Evans Ave
Fort Myers, FL 33901
Phone (239) 332-6937

520 E Lancaster Ave
Downingtown, PA 19335
Phone (610) 873-1005

545 Pershing Ave
Lancaster, PA 17602
Phone (717) 293-4150

2217 Baltimore Pike
Oxford, PA 19363
Phone (610) 200-6222

112 N Broad St
Philadelphia, PA 19102
Phone (215) 568-0622

112 N Broad St
Rm 821
Philadelphia, PA 19102
Phone 2155680860 ext. 3364

120 S 30th St
Philadelphia, PA 19104
Phone (215) 222-2466

3275 Stokley St
Philadelphia, PA 19129
Phone (215) 386-3838

1041 W Bridge St
Ste 5
Phoenixville, PA 19460
Phone (610) 415-9301

50 James Buchanan Rd
Thorndale, PA 19372
Phone (610) 200-6222

24 Albion Rd
Ste 420
Lincoln, RI 02865
Phone (401) 333-3980

25 Blackstone Valley Pl
Ste 300
Lincoln, RI 02865

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1548203425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E BALTIMORE PIKE",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481800",
            "telephone_number": "610-388-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E BALTIMORE PIKE",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481800",
            "telephone_number": "610-388-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCKS",
        "first_name": "JAMES",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "ME123861",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MD",
            "license": "D0053139",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "PA",
            "license": "MD011165E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

Verify at the official NPI Registry.