Jonesville Family Medical Center, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

40345 Issued in NC

Legal business name

JONESVILLE FAMILY MEDICAL CENTER, PA

Practice address

113 Crutchfield St.
Dobson, NC 27017

Phone

(336) 386-4452

Fax

(336) 386-4569

NPI assigned

Dec 13, 2006

Last updated

Dec 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Evan A. Ballard, M.D.NPI 1538275912

Title

Officer

Phone

(336) 835-6300

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Evan A Ballard, M.D.

  • Family Medicine Physician
  • Jonesville, NC
  • NPI 1538275912
  Authorized official Same address or phone
• William Alexander Graham IV, M.D.

  • Family Medicine Physician
  • King, NC
  • NPI 1659487981
  NPD (past)
• Thomas M. Shelburne, M.D.

  • Family Medicine Physician
  • Jonesville, NC
  • NPI 1164538567
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1669533436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CRUTCHFIELD ST.",
            "address_2": "P.O. BOX 947",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "27017",
            "telephone_number": "336-386-4452",
            "fax_number": "336-386-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CRUTCHFIELD ST.",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "27017",
            "telephone_number": "336-386-4452",
            "fax_number": "336-386-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONESVILLE FAMILY MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "336-835-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "40345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospice of Surry County, Inc (Mountain Valley)
• Hospice of Surry County, Inc (Mountain Valley)
• Terrie Lynn Hudson, CSAC
• Ilene Lillian Bayer LCSW PLLC
• Edward Claude Jones, M.D.
• Danielle Elaine Jordan, O.D.
• Cassidy Joyner
• Rohini Kanniganti, M.D., M.S.P.H
• Kare Mor Consulants, Inc. (David's House)
• Kerr Drug Inc (Kerr Drug)

• Family Medicine Physician in Dobson, NC
• Providers in Dobson, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.