Jacksonville Children's And Multispecialty Clinic, Pa - Medicare Primary Care in Jacksonville, NC

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Jacksonville Children's And Multispecialty Clinic, Pa is a medicare enrolled primary clinic (Family Medicine) in Jacksonville, North Carolina. The current practice location for Jacksonville Children's And Multispecialty Clinic, Pa is 118 Memorial Dr, Jacksonville, North Carolina. For appointments, you can reach them via phone at (910) 353-0581. The mailing address for Jacksonville Children's And Multispecialty Clinic, Pa is Po Box 986513, Department 100, Boston, Massachusetts and phone number is (910) 219-8326.

Jacksonville Children's And Multispecialty Clinic, Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1164519070. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (910) 353-0581.

Contact Information

Jacksonville Children's And Multispecialty Clinic, Pa
118 Memorial Dr
Jacksonville
NC 28546-6328
(910) 353-0581
(910) 353-1351

Map and Direction


Primary Care Clinic Profile

Full NameJacksonville Children's And Multispecialty Clinic, Pa
SpecialityFamily Medicine
Location118 Memorial Dr, Jacksonville, North Carolina
Authorized Official Name and PositionIshwar Hakumal Gopichand (CMO)
Authorized Official Contact9195891240
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacksonville Children's And Multispecialty Clinic, Pa
Po Box 986513
Department 100
Boston
MA 02298-6513

Ph: (910) 219-8326		Jacksonville Children's And Multispecialty Clinic, Pa
118 Memorial Dr
Jacksonville
NC 28546-6328

Ph: (910) 353-0581

NPI Details:

NPI Number1164519070
Provider Enumeration Date10/10/2006
Last Update Date01/19/2026

Medicare PECOS Information:

Medicare PECOS PAC ID6709968811
Medicare Enrollment IDO20080129000277

Medical Identifiers

Medical identifiers for Jacksonville Children's And Multispecialty Clinic, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164519070NPI-NPPES
1164519070MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
2080P0202XPediatrics - Pediatric Cardiology (* (Not Available))Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
2080P0008XPediatrics - Neurodevelopmental Disabilities (* (Not Available))Secondary
207KA0200XAllergy & Immunology - Allergy (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jacksonville Children's And Multispecialty Clinic, Pa acts as a billing entity for following providers:
Provider NameCharles W Stafford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518932763
PECOS PAC ID: 1153217708
Enrollment ID: I20040223000494
Provider NameCarol S Raynor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447283098
PECOS PAC ID: 1557258001
Enrollment ID: I20040301000753
Provider NameAlexander C Chavez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982603163
PECOS PAC ID: 8628067147
Enrollment ID: I20040510001330
Provider NamePatrick John Morgante
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881655371
PECOS PAC ID: 0941279715
Enrollment ID: I20040928001206
Provider NameAbayomi W Osunkoya
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164416806
PECOS PAC ID: 7618916396
Enrollment ID: I20050502001158
Provider NameKhye S Leong
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1184672917
PECOS PAC ID: 3779514203
Enrollment ID: I20050824001094
Provider NameNancy F Melling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417980061
PECOS PAC ID: 7012002124
Enrollment ID: I20071004000551
Provider NameMadhur Mittal
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932153673
PECOS PAC ID: 2961584081
Enrollment ID: I20090721000811
Provider NameIshwar H Gopichand
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1538113261
PECOS PAC ID: 2860574985
Enrollment ID: I20090724000147
Provider NamePatricia K Stark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891025763
PECOS PAC ID: 8325180128
Enrollment ID: I20100115000870
Provider NameJoseph Frank Nutz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760488175
PECOS PAC ID: 4587564497
Enrollment ID: I20100514000753
Provider NameKati Ellizabeth Dessauer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306832563
PECOS PAC ID: 2264530997
Enrollment ID: I20100828000016
Provider NameStefanie L Harman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780825877
PECOS PAC ID: 5991821340
Enrollment ID: I20100923000444
Provider NameDenise Gallagher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083648117
PECOS PAC ID: 4981614781
Enrollment ID: I20110414000253
Provider NameKiem M Hioe
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1043344666
PECOS PAC ID: 9335324003
Enrollment ID: I20110421000689
Provider NameJugta Kahai
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1104805670
PECOS PAC ID: 6800055542
Enrollment ID: I20120315000485
Provider NameJames David Shumate
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649267220
PECOS PAC ID: 0648283812
Enrollment ID: I20120328001068
Provider NameFrederick J Reindl
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1851334700
PECOS PAC ID: 3375667769
Enrollment ID: I20130129000268
Provider NameSheila L Blanks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184985335
PECOS PAC ID: 7113172073
Enrollment ID: I20130226000004
Provider NameCathy Gayle Mann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174864656
PECOS PAC ID: 4082839006
Enrollment ID: I20140708001508
Provider NameArnold Olegario
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1447361480
PECOS PAC ID: 7214241454
Enrollment ID: I20150803000248
Provider NameSasidharan Taravath
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1851353718
PECOS PAC ID: 6103918966
Enrollment ID: I20161031001256
Provider NameAnna Skaskiw
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1073513875
PECOS PAC ID: 4284662032
Enrollment ID: I20170301002075
Provider NameFrancisco J Ojeda
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1104875582
PECOS PAC ID: 7416084587
Enrollment ID: I20170518001616
Provider NameMark E Michaud
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588643597
PECOS PAC ID: 6406072743
Enrollment ID: I20170606002378
Provider NameDeana Glasgow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457883191
PECOS PAC ID: 6709155187
Enrollment ID: I20170628000005
Provider NameStormy Suzanne Gilbert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205344389
PECOS PAC ID: 2860754074
Enrollment ID: I20180328002593
Provider NameKatherine Anne Alwes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215445317
PECOS PAC ID: 9830451921
Enrollment ID: I20180330000574
Provider NameNicole Evangeline Aristy
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1174722987
PECOS PAC ID: 0446505903
Enrollment ID: I20180625001705
Provider NameMarsha Currin Hull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699274050
PECOS PAC ID: 6800129032
Enrollment ID: I20190603002945
Provider NameMary L Wisniewski
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1548201890
PECOS PAC ID: 4082947452
Enrollment ID: I20190618001230
Provider NameErika Nevan Wittler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003354390
PECOS PAC ID: 0143593061
Enrollment ID: I20190724002467
Provider NameKatie Lynn Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609435684
PECOS PAC ID: 2860729654
Enrollment ID: I20190816002124
Provider NameMichael Robert Porcheron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588212997
PECOS PAC ID: 9537593629
Enrollment ID: I20191226000001
Provider NameStephanie M Canipe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871133850
PECOS PAC ID: 6406285253
Enrollment ID: I20200331001140
Provider NameJanice King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770116998
PECOS PAC ID: 3870924871
Enrollment ID: I20200507000084
Provider NameDuy An Tran Minior
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1992125322
PECOS PAC ID: 9739479072
Enrollment ID: I20200707001228
Provider NameShailesh Manandhar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1679005409
PECOS PAC ID: 9537571468
Enrollment ID: I20201216002770
Provider NameKatherine Price Sutherland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720636038
PECOS PAC ID: 5698107332
Enrollment ID: I20210420001805
Provider NameRichard J Guillot
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1164490330
PECOS PAC ID: 9739274374
Enrollment ID: I20210715000032
Provider NameAshley Laura Malara
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053815910
PECOS PAC ID: 2769738848
Enrollment ID: I20210716000234
Provider NameCindy Ann Compeggie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205899713
PECOS PAC ID: 0648672352
Enrollment ID: I20210716001314
Provider NameDanielle N Tupes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598439002
PECOS PAC ID: 4587062880
Enrollment ID: I20211015002426
Provider NameMonireh Parish
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1588161731
PECOS PAC ID: 5698023620
Enrollment ID: I20211018001448
Provider NameLeah Fitzgerald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043987852
PECOS PAC ID: 6204226038
Enrollment ID: I20211209000760
Provider NameBonnie Frank
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740948330
PECOS PAC ID: 4981096021
Enrollment ID: I20220121000902
Provider NameMary Jo Mcdonell
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1821095118
PECOS PAC ID: 3779978218
Enrollment ID: I20220318000750
Provider NameLee Hayley Grammer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992468458
PECOS PAC ID: 8123413523
Enrollment ID: I20220322001745
Provider NameMary Parker Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720732498
PECOS PAC ID: 4789070335
Enrollment ID: I20220406003037
Provider NameNicholas Ryan Fiacco
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1093042095
PECOS PAC ID: 1557687654
Enrollment ID: I20220512001767
Provider NameRobert Wauters
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1578902565
PECOS PAC ID: 8426308644
Enrollment ID: I20220523000129
Provider NameCristan Lee Crider
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194460329
PECOS PAC ID: 5799164703
Enrollment ID: I20220622002282
Provider NameJordan Doetsch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649917956
PECOS PAC ID: 1759762891
Enrollment ID: I20220720001599
Provider NameKate D Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407511595
PECOS PAC ID: 3274924188
Enrollment ID: I20221212002115
Provider NameMelissa Elizabeth Lockhart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467989350
PECOS PAC ID: 0941679823
Enrollment ID: I20221215002358
Provider NameMichelle L Snyder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053021717
PECOS PAC ID: 4981074424
Enrollment ID: I20221228001277
Provider NameJessica A Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114497807
PECOS PAC ID: 0749603074
Enrollment ID: I20230111000958
Provider NameJennifer Schofield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235727264
PECOS PAC ID: 0244644193
Enrollment ID: I20230406000740
Provider NameJulia Bernstein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295449122
PECOS PAC ID: 9537524830
Enrollment ID: I20230419002853
Provider NameEvgeniya N Chisenhall
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1083060545
PECOS PAC ID: 1355632688
Enrollment ID: I20230517002254
Provider NameJanieta R Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659928398
PECOS PAC ID: 5193153112
Enrollment ID: I20230517003590
Provider NameBrenee S.m. Kratzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740962364
PECOS PAC ID: 1355784448
Enrollment ID: I20240206000919
Provider NameDebra J Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699731919
PECOS PAC ID: 8527101740
Enrollment ID: I20240214000407
Provider NameKelly D Duncan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699085050
PECOS PAC ID: 7416490255
Enrollment ID: I20240620002902

Reviews and Comments


Family Medicine in Jacksonville, NC

Generations Family Practice, Pa
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Medicare: Not Enrolled in Medicare
Practice Location: 158 Memorial Ct, Jacksonville, NC 28546
Phone: 910-353-5111    Fax: 910-353-2849
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Practice Location: 4 Office Park Dr, Jacksonville, NC 28546
Phone: 910-353-6158    Fax: 910-353-7257
Star Medical Clinic Pllc
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Medicare: Medicare Enrolled
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Phone: 910-333-0283    Fax: 910-333-0513
W.r.turlington Md Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 200 Doctors Drive, Suite M, Jacksonville, NC 28546
Phone: 910-353-8100    Fax: 910-353-5764
Med First Immediate Care & Family Practice Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1899 N Marine Blvd, Jacksonville, NC 28546
Phone: 910-937-7200    Fax: 910-937-7061
Med First Immediate Care & Family Practice, Pa
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 609 Richlands Hwy Ste 6, Jacksonville, NC 28540
Phone: 910-455-7888    Fax: 910-455-1403
Onslow Ambulatory Services, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 31 Office Park Dr, Jacksonville, NC 28546
Phone: 910-346-5016    Fax: 910-577-4987

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.