JACKSONVILLE TREATMENT CENTER
NPI 1750821229
Community/Behavioral Health in Jacksonville, NC

NPI Status: Active since March 03, 2017

Contact Information

291 HUFF DR
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 347-2205
Fax: (910) 347-2216

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 34D2080194
  • CLIA Cert. Type: Other - OUTPATIENT TREATMENT CNTR
  • CLIA Exp. Date: 07-01-2026

About JACKSONVILLE TREATMENT CENTER

This page provides the complete NPI Profile along with additional information for Jacksonville Treatment Center, a provider established in Jacksonville, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1750821229 assigned on March 2017. The practitioner's primary taxonomy code is 251S00000X with license number MHL-067-166 (NC). The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Macy Melissa Hamm J.d. (Sponsor)

NPI
1750821229
Provider Name
JACKSONVILLE TREATMENT CENTER
Entity Type
Organization
Location Address
291 HUFF DR JACKSONVILLE, NC 28546
Location Phone
(910) 347-2205
Location Fax
(910) 347-2216
Mailing Address
1112 SILVER OAKS CT RALEIGH, NC 27614
Mailing Phone
(919) 656-1633
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2017
Last Update Date
02-09-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
MHL-067-166
License State
NC
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

MHL-067-166 (NC)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MACY MELISSA HAMM J.D.

Authorized Official Title
SPONSOR
Authorized Official Phone
(919) 656-1633

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

This service was performed 655 times for 22 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2080194
Facility Type
Other - OUTPATIENT TREATMENT CNTR
Certificate Effective Date
July 02, 2024
Certificate Expiration Date
July 01, 2026
Laboratory Director
TIMOTHY GUNN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jacksonville Treatment Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750821229, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 8 → 16 → 7 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 1 + 6 + 2 + 2 + 2 + 4 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1750821229.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Specialist
291 HUFF DR
JACKSONVILLE, NC 28546
Specialist
291 HUFF DR
JACKSONVILLE, NC 28546
Counselor (Addiction (Substance Use Disorder))
291 HUFF DR
JACKSONVILLE, NC 28546
Counselor (Addiction (Substance Use Disorder))
291 HUFF DR
JACKSONVILLE, NC 28546
Counselor (Addiction (Substance Use Disorder))
291 HUFF DR
JACKSONVILLE, NC 28546
Internal Medicine (Addiction Medicine)
291 HUFF DR
JACKSONVILLE, NC 28546
Counselor (Addiction (Substance Use Disorder))
291 HUFF DR
JACKSONVILLE, NC 28546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750821229, enumerated as an "organization" on March 03, 2017.

The provider is located at 291 HUFF DR JACKSONVILLE, NC 28546 and the phone number is (910) 347-2205.

Community/Behavioral Health with taxonomy code 251S00000X.