Organization Active NPI

Down East Family Medicine, PLLC

  • Primary Care Clinic/Center
  • Jacksonville, NC
National Provider Identifier
1619287182
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DOWN EAST FAMILY MEDICINE, PLLC
Practice address
306 Brynn Marr Road
Jacksonville, NC 28546-7023
Phone
(910) 353-1276
Fax
(910) 353-0967
NPI assigned
Oct 18, 2010
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Jennifer B. Person, MMS, PA-CNPI 1215117122
Title
Managing Member
Phone
(910) 353-1276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

306 Brynn Marr Road
Jacksonville, NC 28546-7023

Mailing address

306 Brynn Marr Road
Jacksonville, NC 28546-7023
Phone (910) 353-1276

National Provider Directory

National Provider Directory

Locations

306 Brynn Marr Rd
Jacksonville, NC 28546
Phone (910) 353-1276

Practitioners & affiliated clinicians

Practitioners 2

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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1619287182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 BRYNN MARR ROAD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467023",
            "telephone_number": "910-353-1276",
            "fax_number": "910-353-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 BRYNN MARR ROAD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467023",
            "telephone_number": "910-353-1276",
            "fax_number": "910-353-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWN EAST FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "PERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "910-353-1276",
        "authorized_official_credential": "MMS, PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Dec 27, 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.