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JACKSONVILLE INTERNAL MEDICINE
NPI 1811066103
Internal Medicine in Jacksonville, AL

Active since November 08, 2006
2270 PELHAM RD S, JACKSONVILLE, AL 36265(256) 435-5499(256) 435-6064 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacksonville Internal Medicine NPPES

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

JACKSONVILLE INTERNAL MEDICINE (NPI 1811066103) is a healthcare organization registered as an internal medicine in Jacksonville, Alabama and active in the NPI registry since November 2006. The organization lists Rey Gavino, Owner, as its authorized official.

NPPES Registry Identity

NPI1811066103
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJACKSONVILLE INTERNAL MEDICINE
Location Address2270 PELHAM RD SJacksonville, AL 36265-9582
Mailing AddressPo Box 550Jacksonville, AL 36265 · (256) 435-5499 · Fax (256) 435-6064
Phone(256) 435-5499
Fax(256) 435-6064
Organization SubpartNo
Authorized OfficialRey GavinoOwner · (256) 435-5499
Enumeration DateNovember 8, 2006
Last NPPES UpdateJanuary 11, 2012
✔ NPI 1811066103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 25404
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2270 PELHAM RD S, Jacksonville, AL 36265
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Other Identifiers 3

Other01D1017203AL · Clia
Medicaid529917260AL
Medicare ID-Type UnspecifiedK191AL

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

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 Jacksonville Internal Medicine's NPI number?

The NPI number for Jacksonville Internal Medicine is 1811066103. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Jacksonville Internal Medicine located?

Jacksonville Internal Medicine is located at 2270 Pelham Rd S, Jacksonville, AL 36265. The listed phone number is (256) 435-5499.

What is Jacksonville Internal Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jacksonville Internal Medicine was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.