Organization Active NPI

Discovery Disability Services, Inc,

  • Case Management Agency
  • Jacksonville, NC
National Provider Identifier
1629251756
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DISCOVERY DISABILITY SERVICES, INC,
Practice address
304 Southwest Dr
Jacksonville, NC 28540-9565
Phone
(910) 330-0297
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Jessica R. Charters
Title
Program Director/Owner
Phone
(910) 330-0297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

304 Southwest Dr
Jacksonville, NC 28540-9565

Mailing address

304 Southwest Dr
Jacksonville, NC 28540-9565
Phone (910) 330-0297

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1629251756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SOUTHWEST DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285409565",
            "telephone_number": "910-330-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SOUTHWEST DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285409565",
            "telephone_number": "910-330-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY DISABILITY SERVICES, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "CHARTERS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR/OWNER",
        "authorized_official_telephone_number": "910-330-0297"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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 12, 2007; 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.