Jeg'S Outreach, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JEG'S OUTREACH, INC.

Practice address

2324 Hope Mills Rd
Fayetteville, NC 28304-4230

Phone

(910) 864-9909

Fax

(910) 488-3401

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jimmie L Cox Jr.

Title

Administrator

Phone

(910) 864-9909

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jeg'S Outreach Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jeg'S Outreach, Inc.

  • Home Health Agency
  • Fayetteville, NC
  • NPI 1295864908
  NPD tax ID

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1780713644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044230",
            "telephone_number": "910-864-9909",
            "fax_number": "910-488-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044230",
            "telephone_number": "910-864-9909",
            "fax_number": "910-488-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEG'S OUTREACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-864-9909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409597",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Michelle Jefferson, PHARMD
• Bryana Jefferson
• Tikela Jefferson
• Dorothy Marie Jeffries, P-LCSW
• Jeg'S Outreach, Inc.
• Toluwanimi Bolado Jeje, MD
• Wendy June Jekel
• Kayla Jemmott
• Brittany Nicole Jenkins, LCSW
• Jennifer Jenkins

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.