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JACKSONVILLE VA CLINIC
NPI 1124422308
Clinic/Center - VA in Jacksonville, NC

Active since October 16, 2014
306 BRYNN MARR RD, JACKSONVILLE, NC 28546(828) 257-3777 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2018, Sep 29, 2015 (2 updates tracked since 2015).

About Jacksonville Va Clinic NPPES

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

JACKSONVILLE VA CLINIC (NPI 1124422308) is a healthcare organization registered as a va in Jacksonville, North Carolina and active in the NPI registry since October 2014. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1124422308
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameFAYETTEVILLE VAMC
Location Address306 BRYNN MARR RDJacksonville, NC 28546-7023
Mailing AddressPo Box 89494Cleveland, OH 44101-6494 · (828) 257-2333
Phone(828) 257-3777
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateOctober 16, 2014
Last NPPES UpdateApril 11, 20182 updates tracked since enumeration
✔ NPI 1124422308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
306 BRYNN MARR RD, Jacksonville, NC 28546
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Other Names 1

Other NameJacksonville Va Clinic

Other Providers at the Same Location NPPES

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

MS. CYNTHIA DIXON GRANT FNP-C
Nurse Practitioner (Family)
306 BRYNN MARR RD
JACKSONVILLE, NC 28546
Onslow County (910) 353-6406

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 Fayetteville Vamc's NPI number?

The NPI number for Fayetteville Vamc is 1124422308. It was assigned to this organization in the NPPES registry on October 16, 2014. The provider is also known as Jacksonville VA Clinic.

Where is Fayetteville Vamc located?

Fayetteville Vamc is located at 306 Brynn Marr Rd, Jacksonville, NC 28546. The listed phone number is (828) 257-3777.

What is Fayetteville Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Fayetteville Vamc was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.