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OLD NORTH STATE MEDICAL FOUNDATION
NPI 1427948686
Community/Behavioral Health in Jacksonville, NC

Active since July 08, 2025
825 GUM BRANCH RD STE 121, JACKSONVILLE, NC 28540(252) 626-7732 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2025, Jul 8, 2025 (2 updates tracked since 2025).

About Old North State Medical Foundation NPPES

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

OLD NORTH STATE MEDICAL FOUNDATION (NPI 1427948686) is a healthcare organization registered as a community/behavioral health in Jacksonville, North Carolina and active in the NPI registry since July 2025. The organization lists Joshua M Chitalo, Business Director, as its authorized official.

NPPES Registry Identity

NPI1427948686
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameOLD NORTH STATE MEDICAL FOUNDATION
Location Address825 GUM BRANCH RD STE 121Jacksonville, NC 28540-6293
Mailing Address825 Gum Branch Rd Ste 121Jacksonville, NC 28540-6293 · (252) 626-7732
Phone(252) 626-7732
Organization SubpartNo
Authorized OfficialJoshua M ChitaloBusiness Director · (252) 626-7732
Enumeration DateJuly 8, 2025
Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1427948686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedMealsTaxonomy 174200000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedHome Delivered MealsTaxonomy 332U00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedRespite CareTaxonomy 385H00000X
825 GUM BRANCH RD STE 121, Jacksonville, NC 28540
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Other Providers at the Same Location NPPES 2

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

HEALTH OPPORTUNITIES CONSORTIUM LLC
Community/Behavioral Health
825 GUM BRANCH RD STE 121
JACKSONVILLE, NC 28540
Onslow County (252) 626-7732
CRAVEN TERRACE CHARITIES INC
Voluntary or Charitable
825 GUM BRANCH RD STE 121
JACKSONVILLE, NC 28540
Onslow County (252) 626-7732

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 Old North State Medical Foundation's NPI number?

The NPI number for Old North State Medical Foundation is 1427948686. It was assigned to this organization in the NPPES registry on July 8, 2025.

Where is Old North State Medical Foundation located?

Old North State Medical Foundation is located at 825 Gum Branch Rd Ste 121, Jacksonville, NC 28540. The listed phone number is (252) 626-7732.

What is Old North State Medical Foundation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Old North State Medical Foundation was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.