North Jackson Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00026933 Issued in AL

Legal business name

NORTH JACKSON PRIMARY CARE

Practice address

42319 US Highway 72
Stevenson, AL 35772-5418

Phone

(256) 437-2223

Fax

(256) 437-2225

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Calhoun Jr., M.D.NPI 1942210745

Title

Owner

Phone

(256) 437-2223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Ronald Edwin Calhoun, M.D.

  • Family Medicine Physician
  • Stevenson, AL
  • NPI 1942210745

  AL, Family Medicine

  Medicare reassignment NPD Authorized official
• Brandi Linette Hicks, R.N., C.R.N.P.

  • Physician Assistant
  • Bridgeport, AL
  • NPI 1740331024
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1679654339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42319 US HIGHWAY 72",
            "address_2": "PO BOX 406",
            "city": "STEVENSON",
            "state": "AL",
            "postal_code": "357725418",
            "telephone_number": "256-437-2223",
            "fax_number": "256-437-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42319 US HIGHWAY 72",
            "city": "STEVENSON",
            "state": "AL",
            "postal_code": "357725418",
            "telephone_number": "256-437-2223",
            "fax_number": "256-437-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JACKSON PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-437-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00026933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asha P Mohan, M.D.
• T. Murali Mohan, M.D.
• Amanda Michelle Moore, RESPIRATORY THERAPIS
• William Dywayne Moore, EMT
• North Jackson Dental Care
• North Jackson Urgent Care LLC
• Steven Thomas Overby, PHARM.D.
• Scottsboro Family Physicians PC
• Deanna Michelle Smelley, PA-C
• Stevenson Medical Center, P.C.

• All providers in Stevenson, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.