JACKSONVILLE DIGESTIVE DISEASES CLINIC PA
NPI 1861506545
Internal Medicine - Gastroenterology in Jacksonville, NC

Active since August 18, 2006
224 MEMORIAL DR, SUITE A, JACKSONVILLE, NC 28546(910) 577-1444(910) 577-1001 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacksonville Digestive Diseases Clinic Pa NPPES

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

JACKSONVILLE DIGESTIVE DISEASES CLINIC PA (NPI 1861506545) is a healthcare organization registered as a gastroenterology in Jacksonville, North Carolina and active in the NPI registry since August 2006. The organization lists Clarita Q Issa, Corp Sec, as its authorized official.

NPPES Registry Identity

NPI1861506545
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameJACKSONVILLE DIGESTIVE DISEASES CLINIC PA
Location Address224 MEMORIAL DR, SUITE AJacksonville, NC 28546
Mailing Address224 Memorial Dr, Suite AJacksonville, NC 28546 · (910) 577-1444 · Fax (910) 577-1001
Fax(910) 577-1001
Organization SubpartNo
Authorized OfficialClarita Q IssaCorp Sec · (910) 577-1444
Enumeration DateAugust 18, 2006
Last NPPES UpdateNovember 14, 2007
NPI 1861506545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NC · 22581
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
224 MEMORIAL DR, Jacksonville, NC 28546

Other Identifiers 4

Medicaid8945475NC
Other45475NC · Bc
Medicare UPINC85562
Medicare PIN201988NC

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

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.

Podiatrist
224 MEMORIAL DR
JACKSONVILLE, NC 28546
Specialist
224 MEMORIAL DR, SUITE A
JACKSONVILLE, NC 28546
Podiatrist (Foot & Ankle Surgery)
224 MEMORIAL DR
JACKSONVILLE, NC 28546
Podiatrist (Foot Surgery)
224 MEMORIAL DR
JACKSONVILLE, NC 28546

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 Digestive Diseases Clinic PA's NPI number?

The NPI number for Jacksonville Digestive Diseases Clinic PA is 1861506545. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is Jacksonville Digestive Diseases Clinic PA located?

Jacksonville Digestive Diseases Clinic PA is located at 224 Memorial Dr Suite A, Jacksonville, NC 28546. The listed phone number is (910) 577-1444.

What is Jacksonville Digestive Diseases Clinic PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Jacksonville Digestive Diseases Clinic PA was last updated on November 14, 2007. 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.