Organization Active NPI

JMC Healthcare Services PC

  • Family Nurse Practitioner
  • Stafford, TX
National Provider Identifier
1639209703
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
632043 Issued in TX
Legal business name
JMC HEALTHCARE SERVICES PC
Practice address
4915 S Main St Ste 116
Stafford, TX 77477-4601
Phone
(832) 766-0231
Fax
(281) 491-2201
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Ms. Joyce M. FranklinNPI 1275684649
Title
Director
Phone
(832) 766-0231

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 632043 TX Primary

Addresses

Primary practice location

4915 S Main St Ste 116
Stafford, TX 77477-4601

Mailing address

4915 S Main St Ste 116
Stafford, TX 77477-4601
Phone (832) 766-0231

Other identifiers 1

IdentifierTypeStateIssuer
156456901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161005001306 TX Part B Supplier - Clinic/Group Practice 4789972894 Receives reassigned benefits from 1 practitioner
Practice locations: Stafford, TX

National Provider Directory

National Provider Directory

Locations

2227 S Main St
Ste A
Stafford, TX 77477
Phone (281) 969-7662

4915 S Main St
Ste 116
Stafford, TX 77477
Phone (832) 766-0231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1639209703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 S MAIN ST STE 116",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774601",
            "telephone_number": "832-766-0231",
            "fax_number": "281-491-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 S MAIN ST STE 116",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774601",
            "telephone_number": "832-766-0231",
            "fax_number": "281-491-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMC HEALTHCARE SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-766-0231",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "632043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156456901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.