JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA
NPI 1164519070
Family Medicine in Jacksonville, NC
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
Specialties & Licenses 8
Secondary Practice Locations 12
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacksonville Children's And Multispecialty Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
61Medicare enrollment records show 61 clinicians reassign Medicare billing to Jacksonville Children's And Multispecialty Clinic, PA, which bills Medicare for the services they deliver. Of these, 24 practice at this address and 34 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 61Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCCertificate of Waiver 34D1094798
Jacksonville Childrens And Family Care · Jacksonville, NCFrequently 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.
Is Jacksonville Children's And Multispecialty Clinic, PA enrolled in Medicare?
Yes. Jacksonville Children's And Multispecialty Clinic, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jacksonville Children's And Multispecialty Clinic, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 61 clinicians in 7 Medicare specialties reassign their Medicare billing to Jacksonville Children's And Multispecialty Clinic, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (32), Pediatric Medicine (15) and Family Practice (9). Of these, 24 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 and Cigna Healthcare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Jacksonville Children's And Multispecialty Clinic, Pa · NPI 1164519070
Family Medicine organization in Jacksonville, North Carolina. Organization record, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1164519070 (Entity type: Organization)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ishwar Gopichand, CMO
## Practice location
- **Address:** 118 MEMORIAL DR, Jacksonville, NC 28546-6328
- **Phone:** (910) 353-0581 · **Fax:** (910) 353-1351
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 61 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Pediatric Medicine (15), Family Practice (9); 24 practice at this address and 34 within 10 miles; [full list](https://npiprofile.com/npi/1164519070/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 19, 2026
- **Other identifiers:** Medicaid 1164519070 (NC)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164519070) · Data from the CMS NPPES public registry.