Organization Active NPI

Med First Immediate Care & Family Practice, PA

  • Family Medicine Physician
  • Jacksonville, NC
National Provider Identifier
1780916866
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
Practice address
308 Dolphin Dr
Jacksonville, NC 28546-5266
Phone
(910) 346-2273
NPI assigned
Feb 1, 2010
Organization subpart
Yes
Parent organization
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Mrs. Randy Schilsky, D.C.
Title
Manager
Phone
(910) 346-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

308 Dolphin Dr
Jacksonville, NC 28546-5266

Mailing address

PO Box 686
Jacksonville, NC 28541-0686
Phone (910) 346-2273

National Provider Directory

National Provider Directory
Tax ID family
Med First Immediate Care Family Practice PA44 organizations share this tax ID, including this one
Part of
Med First Immediate Care Family Practice PA

Other organizations with this tax ID 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1780916866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285410686",
            "telephone_number": "910-346-2273",
            "fax_number": "910-346-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 DOLPHIN DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465266",
            "telephone_number": "910-346-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA",
        "enumeration_date": "2010-02-01",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "SCHILSKY",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "910-346-2273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.