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FAMILY CARE OF INDEPENDENCE
NPI 1790742765
Family Medicine in Independence, MO

Active since April 26, 2006CLIA Certified · 2 labs
4721 S CLIFF AVE, FAMILY CARE OF INDEPENDENCE SUITE 200, INDEPENDENCE, MO 64055(816) 503-3700(816) 503-3704 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Care Of Independence NPPES

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

FAMILY CARE OF INDEPENDENCE (NPI 1790742765) is a healthcare organization registered as a family medicine in Independence, Missouri and active in the NPI registry since April 2006. The organization holds 2 active CLIA laboratory certificates and lists Pamela J. Myrtle, Hr Director, as its authorized official.

NPPES Registry Identity

NPI1790742765
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJAYHAWK PRIMARY CARE INC
Location Address4721 S CLIFF AVE, FAMILY CARE OF INDEPENDENCE SUITE 200Independence, MO 64055-7016
Mailing Address2330 Shawnee Mission Pkwy, Medical Administrative Services Of Ku Med. Ste. 312Westwood, KS 66205-2005 · (913) 588-9856 · Fax (913) 588-9822
Phone(816) 503-3700
Fax(816) 503-3704
Organization SubpartYes
Authorized OfficialPamela J. MyrtleHr Director · (913) 588-9808
Enumeration DateApril 26, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1790742765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4721 S CLIFF AVE, Independence, MO 64055
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Other Names 1

Doing Business AsFamily Care Of Independence

Other Identifiers 2

Medicare ID-Type UnspecifiedJ610000MO · Medicare Group Number
Other21211013Bcbs Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 26D1028073

Family Care Of Independence · Independence, MO
Active · expires Jul 19, 2028
CLIA Number26D1028073
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorJennifer Patterson
Laboratory Phone(816) 503-3700
Laboratory LocationFamily Care Of Independence4911 S Arrowhead Dr, Ste 200, Independence, MO 64055
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2258966

Family Care Of Independence · Independence, MO
Active · expires Apr 28, 2028
CLIA Number26D2258966
Laboratory TypeIndependent
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorJennifer Patterson
Laboratory Phone(816) 503-3700
Laboratory LocationFamily Care Of Independence4911 S Arrowhead Dr, Ste 201, Independence, MO 64055
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

JENNIFER J PATTERSON M.D.
Family Medicine
4721 S CLIFF AVE, SUITE 200
INDEPENDENCE, MO 64055
Jackson County (816) 503-3700
KARA DAWN MORRISON LEAD RBT
Behavior Technician
4721 S CLIFF AVE
INDEPENDENCE, MO 64055
Jackson County (816) 368-8120
DR. KARMEL L CAROTHERS M.D.
Internal Medicine (Geriatric Medicine)
4721 S CLIFF AVE, SUITE 200
INDEPENDENCE, MO 64055
Jackson County (816) 503-3700
NANCY C. MORAN MD
Family Medicine
4721 S CLIFF AVE, SUITE 200
INDEPENDENCE, MO 64055
Jackson County (816) 503-3700

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 Jayhawk Primary Care Inc's NPI number?

The NPI number for Jayhawk Primary Care Inc is 1790742765. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider is doing business as Family Care Of Independence.

Where is Jayhawk Primary Care Inc located?

Jayhawk Primary Care Inc is located at 4721 S Cliff Ave Family Care Of Independence Suite 200, Independence, MO 64055. The listed phone number is (816) 503-3700.

What is Jayhawk Primary Care Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Jayhawk Primary Care Inc 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.

When was this NPI record last updated?

The NPPES record for Jayhawk Primary Care Inc was last updated on April 20, 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.