Active NPI
Barbara Casey Medlin
- Other Specialist/Technologist
- Jacksonville, NC
National Provider Identifier
1972898146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Practice address
- 714 New Bridge St
Jacksonville, NC 28540-5435 - Phone
- (910) 347-5185
- Fax
- (910) 347-9298
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | Primary |
Addresses
Primary practice location
714 New Bridge St
Jacksonville, NC 28540-5435
Mailing address
PO Box 250
Jacksonville, NC 28541-0250
Phone (910) 347-5185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77000020 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1972898146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285410250",
"telephone_number": "910-347-5185",
"fax_number": "910-347-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 NEW BRIDGE ST",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285405435",
"telephone_number": "910-347-5185",
"fax_number": "910-347-9298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLIN",
"first_name": "BARBARA",
"middle_name": "CASEY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77000020",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
- Med First Immediate Care & Family Practice, PA
- Med First Immediate Care & Family Practice, PA
- Med First Immediate Care & Family Practice, PA
- Johanna Medel Verdejo
- Lisa Meder, LCSWA
- Dwight Anthony Medlin, PHARMACIST RPH
- Kristen Marie Megleo, DPT
- Emely Mejia Lemus
- Samuel Fernando Mejia
- Victoria Lorraine Meletiche, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.