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FAMILY CARE CLINIC, P.A.
NPI 1316033590
Clinic/Center in Jacksonville, NC

Active since October 05, 2006CLIA 34D0989990 · Waiver
114C MEMORIAL DR, JACKSONVILLE, NC 28546(910) 353-9688(910) 353-7498 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Care Clinic, P.a. NPPES

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

FAMILY CARE CLINIC, P.A. (NPI 1316033590) is a healthcare organization registered as a clinic/center in Jacksonville, North Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists David F Bullard, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1316033590
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFAMILY CARE CLINIC, P.A.
Location Address114C MEMORIAL DRJacksonville, NC 28546-6328
Mailing Address114c Memorial DrJacksonville, NC 28546-6328 · (910) 353-9688 · Fax (910) 353-7498
Phone(910) 353-9688
Fax(910) 353-7498
Organization SubpartNo
Authorized OfficialDavid F BullardChief Executive Officer · (910) 353-3389
Enumeration DateOctober 5, 2006
Last NPPES UpdateMarch 31, 2008
✔ NPI 1316033590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
114C MEMORIAL DR, Jacksonville, NC 28546
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CLIA Laboratory Certificates CMS CLIA

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 34D0989990

Family Care Clinic · Jacksonville, NC
Active · expires Jan 31, 2028
CLIA Number34D0989990
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorIshwar H. Gopichand
Laboratory Phone(910) 353-9688
Laboratory LocationFamily Care Clinic114C Memorial Drive, Jacksonville, NC 28546
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

ASHLEY LAURA MALARA MD
Family Medicine
114C MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-9688
MRS. KIMBERLY LYNN FERENCE PAC
Physician Assistant
114C MEMORIAL DR, FAMILY CARE CLINIC P.A.
JACKSONVILLE, NC 28546
Onslow County (910) 353-9688
MRS. JENNIFER SCHOFIELD FNP-BC
Nurse Practitioner (Family)
114C MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-9688
SANDRA FARAG
Pharmacist
114C MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-9688
EMILY ANN HUFF PA
Physician Assistant
114C MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-9688
KELLY D DUNCAN CNM, FNP
Nurse Practitioner (Family)
114C MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-9688
MRS. AMANDA SWEET PA-C
Physician Assistant
114C MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-9688

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 Family Care Clinic, P.A.'s NPI number?

The NPI number for Family Care Clinic, P.A. is 1316033590. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Family Care Clinic, P.A. located?

Family Care Clinic, P.A. is located at 114C Memorial Dr, Jacksonville, NC 28546. The listed phone number is (910) 353-9688.

What is Family Care Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Family Care Clinic, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0989990) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Care Clinic, P.A. was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.