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JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA
NPI 1164519070
Family Medicine in Jacksonville, NC

Active since October 10, 2006CLIA Certified · 2 labs
118 MEMORIAL DR, JACKSONVILLE, NC 28546(910) 353-0581(910) 353-1351 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2026, Jan 12, 2026, Sep 12, 2024 and 17 more (20 updates tracked since 2019).

About Jacksonville Children's And Multispecialty Clinic, Pa NPPES

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

JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA (NPI 1164519070) is a healthcare organization registered as a family medicine in Jacksonville, North Carolina and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates, maintains 12 additional practice locations, and lists Ishwar Hakumal Gopichand, Cmo, as its authorized official.

NPPES Registry Identity

NPI1164519070
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA
Location Address118 MEMORIAL DRJacksonville, NC 28546-6328
Mailing AddressPo Box 986513, Department 100Boston, MA 02298-6513 · (910) 219-8326 · Fax (910) 939-4269
Phone(910) 353-0581
Fax(910) 353-1351
Organization SubpartNo
Authorized OfficialIshwar Hakumal GopichandCmo · (919) 589-1240
Enumeration DateOctober 10, 2006
Last NPPES UpdateJanuary 19, 202620 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
✔ NPI 1164519070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X
118 MEMORIAL DR, Jacksonville, NC 28546
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Secondary Practice Locations 12

Location 18399 Richlands HwyRichlands, NC 28574-7390 · Phone (910) 324-7268 · Fax (910) 324-7273
Location 2114A Memorial DrJacksonville, NC 28546-6328 · Phone (910) 353-0700 · Fax (910) 353-5305
Location 33004 Bridges StMorehead City, NC 28557-3330 · Phone (252) 727-4933 · Fax (252) 727-4936
Location 4319 Wb McLean DrCape Carteret, NC 28584-8516 · Phone (252) 424-0004 · Fax (252) 764-0019
Location 55710 Oleander Dr Ste 200Wilmington, NC 28403-4722 · Phone (910) 799-1810 · Fax (910) 799-9644
Location 6120 Memorial DrJacksonville, NC 28546-6328 · Phone (910) 353-0581 · Fax (910) 577-1150
Location 7156 Memorial CtJacksonville, NC 28546-6322 · Phone (910) 353-0680 · Fax (910) 353-3629
Location 8114C Memorial DrJacksonville, NC 28546-6328 · Phone (910) 353-9688 · Fax (910) 353-7498
Location 9107 S Wilmington StRichlands, NC 28574-8298 · Phone (910) 324-7268 · Fax (910) 324-7273
Location 10108 Lakeside DrSneads Ferry, NC 28460-9415 · Phone (910) 327-5437 · Fax (910) 327-5436
Location 111106 Main Street ExtSwansboro, NC 28584-9114 · Phone (910) 325-0581 · Fax (910) 325-0582
Location 12152 Memorial CtJacksonville, NC 28546-6322 · Phone (910) 219-8326 · Fax (910) 353-0600

Other Identifiers 1

Medicaid1164519070NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0982186

Jacksonville Childrens Clinic, PA · Jacksonville, NC
Active · expires Nov 8, 2026
CLIA Number34D0982186
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorIshwar H. Gopichand
Laboratory Phone(910) 353-0581
Laboratory LocationJacksonville Childrens Clinic, PA118 Memorial Drive, Jacksonville, NC 28546
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D1094798

Jacksonville Childrens And Family Care · Jacksonville, NC
Active · expires Jan 26, 2027
CLIA Number34D1094798
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorIshwar H. Gopichand
Laboratory Phone(919) 346-3976
Laboratory LocationJacksonville Childrens And Family Care152 Memorial Court, Jacksonville, NC 28546
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

DR. ANNA SKASKIW MD
Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
ARNOLD CAMACHO OLEGARIO M.D.
Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
MRS. MELISSA ELIZABETH LOCKHART CPNP
Nurse Practitioner (Pediatrics)
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
DR. ISHWAR HAKUMAL GOPICHAND MD
Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
DR. MARY L WISNIEWSKI M.D.
Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
DR. MONIREH PARISH MBBS
Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
KIMBERLY A LEWIS P.A. -C
Physician Assistant
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
PATRICIA STARK FNP
Nurse Practitioner (Family)
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581

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 Children's And Multispecialty Clinic, PA's NPI number?

The NPI number for Jacksonville Children's And Multispecialty Clinic, PA is 1164519070. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Jacksonville Children's And Multispecialty Clinic, PA located?

Jacksonville Children's And Multispecialty Clinic, PA is located at 118 Memorial Dr, Jacksonville, NC 28546. The listed phone number is (910) 353-0581.

What is Jacksonville Children's And Multispecialty Clinic, PA's specialty?

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

Does Jacksonville Children's And Multispecialty Clinic, PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Jacksonville Children's And Multispecialty Clinic, PA accept?

Health plans from Blue Cross and Blue Shield of NC list Jacksonville Children's And Multispecialty Clinic, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacksonville Children's And Multispecialty Clinic, PA was last updated on January 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.