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JACKSONVILLE FAMILY MEDICAL CENTER, PLLC
NPI 1104925056
Family Medicine in Jacksonville, NC

Active since September 21, 2006
2587 HENDERSON DR, JACKSONVILLE, NC 28546(910) 938-3200(910) 938-3043 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacksonville Family Medical Center, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSONVILLE FAMILY MEDICAL CENTER, PLLC (NPI 1104925056) is a healthcare organization registered as a family medicine in Jacksonville, North Carolina and active in the NPI registry since September 2006. The organization lists Ricky A Thomas, Physician, as its authorized official.

NPPES Registry Identity

NPI1104925056
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACKSONVILLE FAMILY MEDICAL CENTER, PLLC
Location Address2587 HENDERSON DRJacksonville, NC 28546-5253
Mailing Address2587 Henderson DrJacksonville, NC 28546-5253 · (910) 938-3200 · Fax (910) 938-3043
Phone(910) 938-3200
Fax(910) 938-3043
Organization SubpartNo
Authorized OfficialRicky A ThomasPhysician · (910) 938-3200
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMay 9, 2008
✔ NPI 1104925056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 36058
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2587 HENDERSON DR, Jacksonville, NC 28546
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Other Identifiers 4

Medicare UPIND15607NC
Medicare ID-Type Unspecified2174297CNC · Medicare
OtherDG9898NC · Railroad Medicare Pin
Medicaid89011JHNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SWETANG PATEL, MD, PA
Family Medicine
2587 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-3200
DR. SWETANG M PATEL MD
Family Medicine
2587 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-3200
JACKSONVILLE FAMILY MEDICAL CENTER, PLLC
Clinic/Center (Family Planning, Non-Surgical)
2587 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-3200
LAUREN AMBROSE P.A.
Physician Assistant
2587 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-3200
STEPHANIE TRENT BALLARD PHYSICIAN ASSISTANT
Physician Assistant
2587 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-3200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacksonville Family Medical Center, PLLC's NPI number?

The NPI number for Jacksonville Family Medical Center, PLLC is 1104925056. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Jacksonville Family Medical Center, PLLC located?

Jacksonville Family Medical Center, PLLC is located at 2587 Henderson Dr, Jacksonville, NC 28546. The listed phone number is (910) 938-3200.

What is Jacksonville Family Medical Center, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jacksonville Family Medical Center, PLLC was last updated on May 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.