Active NPI
Patriotmed of North Carolina, P.C.
- Radiology Clinic/Center
- Jacksonville, NC
National Provider Identifier
1932044161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- PATRIOTMED OF NORTH CAROLINA, P.C.
- Practice address
- 200 Valencia Dr Ste 138
Jacksonville, NC 28546-6311 - Phone
- (910) 805-0043
- NPI assigned
- Apr 22, 2026
- 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
- Robert Scott Thornock
- Title
- Chief Strategy Officer
- Phone
- (480) 369-1270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
200 Valencia Dr Ste 138
Jacksonville, NC 28546-6311
Mailing address
200 Valencia Dr Ste 138
Jacksonville, NC 28546-6311
National Provider Directory
National Provider Directory- Tax ID family
- Patriotmed of North Carolina PC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiology Clinic/Center
- Wilmington, NC
- NPI 1104761337
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1407668908
-
- Radiology Clinic/Center
- Grover, NC
- NPI 1588509715
-
- Radiology Clinic/Center
- Durham, NC
- NPI 1689519811
-
- Radiology Clinic/Center
- Winston Salem, NC
- NPI 1841135076
-
- Radiology Clinic/Center
- Greenville, NC
- NPI 1942145172
Locations
200 Valencia Dr
Ste 138
Jacksonville, NC 28546
Phone (910) 805-0043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776816000000",
"number": "1932044161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 VALENCIA DR STE 138",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 VALENCIA DR STE 138",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466311",
"telephone_number": "910-805-0043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRIOTMED OF NORTH CAROLINA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-22",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A",
"authorized_official_last_name": "THORNOCK",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "CHIEF STRATEGY OFFICER",
"authorized_official_telephone_number": "480-369-1270"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"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 Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.