NPIMap

Organization Active NPI

Physicians Network Inc.

Doing business as PNI dba JACKSONVILLE MEDICAL CLINIC

  • Family Medicine Physician
  • Jacksonville, AR
National Provider Identifier
1689679169
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PHYSICIANS NETWORK INC.
Doing business as
PNI dba JACKSONVILLE MEDICAL CLINIC
Practice address
1300 Braden St
Jacksonville, AR 72076-3719
Phone
(501) 985-5900
Fax
(501) 985-6016
NPI assigned
Jun 20, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Julian Dale Calhoon, M.D.NPI 1376549709
Title
Medical Director
Phone
(501) 985-5900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AR Primary
Internal Medicine Physician 207R00000X AR

Addresses

Primary practice location

1300 Braden St
Jacksonville, AR 72076-3719

Mailing address

PO Box 309
Jacksonville, AR 72078-0309
Phone (501) 985-5900

Other identifiers 1

IdentifierTypeStateIssuer
142734002MedicaidAR

Other names 1

  • PNI dba JACKSONVILLE MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

1300 Braden St
Ste 100
Jacksonville, AR 72076
Phone (501) 985-5900

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689679169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720780309",
            "telephone_number": "501-985-5900",
            "fax_number": "501-985-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BRADEN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763719",
            "telephone_number": "501-985-5900",
            "fax_number": "501-985-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS NETWORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CALHOON",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "501-985-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142734002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PNI dba JACKSONVILLE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.