Active NPI
Palms Wellness Center Inc
- Psychiatry Physician
- Jacksonville, NC
National Provider Identifier
1821326828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PALMS WELLNESS CENTER INC
- Practice address
- 472D Western Blvd
Jacksonville, NC 28546-6824 - Phone
- (910) 238-4513
- Fax
- (910) 238-4745
- NPI assigned
- Dec 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victor Barnes, M.D.
- Title
- Owner
- Phone
- (910) 238-4200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
472D Western Blvd
Jacksonville, NC 28546-6824
Mailing address
472D Western Blvd
Jacksonville, NC 28546-6824
Phone (910) 238-4513
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8913388 | Medicaid | NC | |
| 13388 | Other | NC | BCBS |
National Provider Directory
National Provider DirectoryLocations
472D Western Blvd
Jacksonville, NC 28546
Phone (910) 238-4513
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Jacksonville, NC
- NPI 1568448041
-
- Clinical Social Worker
- Jacksonville, NC
- NPI 1205069242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748304000000",
"number": "1821326828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "472D WESTERN BLVD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466824",
"telephone_number": "910-238-4513",
"fax_number": "910-238-4745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "472D WESTERN BLVD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466824",
"telephone_number": "910-238-4513",
"fax_number": "910-238-4745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMS WELLNESS CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-02",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "VICTOR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-238-4200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8913388",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "13388",
"state": "NC"
}
],
"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 May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.