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

Q: What is Jacksonville Treatment Center's NPI number?

The NPI number for Jacksonville Treatment Center is 1750821229. It was assigned to this organization in the NPPES registry on March 3, 2017.

Q: What is Jacksonville Treatment Center's specialty?

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

Active since March 03, 2017CLIA 34D2080194 · Waiver

291 HUFF DR, JACKSONVILLE, NC 28546(910) 347-2205(910) 347-2216 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, Mar 3, 2017 (2 updates tracked since 2017).

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About Jacksonville Treatment Center NPPES

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

JACKSONVILLE TREATMENT CENTER (NPI 1750821229) is a healthcare organization registered as a community/behavioral health in Jacksonville, North Carolina and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Macy Melissa Hamm, Sponsor, as its authorized official.

NPPES Registry Identity

NPI1750821229

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameJACKSONVILLE TREATMENT CENTER

Location Address291 HUFF DRJacksonville, NC 28546-7370

Mailing Address1112 Silver Oaks CtRaleigh, NC 27614-9359 · (919) 656-1633

Phone(910) 347-2205

Fax(910) 347-2216

Organization SubpartNo

Authorized OfficialMacy Melissa HammSponsor · (919) 656-1633

Enumeration DateMarch 3, 2017

Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2026

✔ NPI 1750821229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NC · MHL-067-166

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 ListedClinic/Center · MethadoneTaxonomy 261QM2800X · License MHL-067-166 (NC)

291 HUFF 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 34D2080194

Jacksonville Treatment Center · Jacksonville, NC

Active · expires Jul 1, 2028

CLIA Number34D2080194

Laboratory TypeOutpatient Treatment Cntr

Certificate Effective DateJuly 2, 2026

Certificate Expiration DateJuly 1, 2028

Laboratory DirectorTimothy Gunn

Laboratory Phone(910) 347-2205

Laboratory LocationJacksonville Treatment Center806 Bell Fork Road, Jacksonville, NC 28540

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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 G2067

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.

553 services14 patients

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.

DR. HEIDI WORTH M.D.

Internal Medicine (Addiction Medicine)