Jacksonville Children'S And Multispecialty Clinic, PA
Family Medicine in Jacksonville, North Carolina
1164519070- Practice location
- 118 Memorial Dr, Jacksonville, NC 28546-6328
- Phone
- 910-353-0581
- Fax
- 910-353-1351
- Last updated
- January 19, 2026
Jacksonville Children'S And Multispecialty Clinic, PA is a healthcare organization based in Jacksonville, NC. Jacksonville Children'S And Multispecialty Clinic, PA practices in Jacksonville, NC. The NPI Number for Jacksonville Children'S And Multispecialty Clinic, PA is 1164519070. The current practice location address for Jacksonville Children'S And Multispecialty Clinic, PA is 118 Memorial Dr, Jacksonville, NC 28546-6328 and can be reached out via phone at 910-353-0581 and via fax at 910-353-1351.
Provider Profile Details
- NPI Number
- 1164519070
- Provider Name
- Jacksonville Children'S And Multispecialty Clinic, PA
- Provider Entity Type
- Organization
- Address
- 118 Memorial Dr, Jacksonville, NC 28546-6328
- Phone Number
- 910-353-0581
- Fax Number
- 910-353-1351
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Ishwar Hakumal Gopichand, MD · Cmo · 919-589-1240
- Provider Enumeration Date
- October 10, 2006
- Last Update Date
- January 19, 2026
- Certification Date
- January 19, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 118 Memorial Dr
Jacksonville, NC 28546-6328 - City
- Jacksonville
- State
- North Carolina
- Zip
- 28546-6328
- Phone Number
- 910-353-0581
- Fax Number
- 910-353-1351
Provider Business Mailing Address Details
- Address
- Po Box 986513
Department 100
Boston, MA 02298-6513 - City
- Boston
- State
- MA
- Zip
- 02298-6513
- Phone Number
- 910-219-8326
- Fax Number
- 910-939-4269
License Information
- Taxonomy (1)
- Internal Medicine · 207R00000X
- Taxonomy (2)
- Pediatrics · 208000000X
- Taxonomy (3)
- Pediatrics, Pediatric Cardiology · 2080P0202X
- Taxonomy (4)
- Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X
- Taxonomy (5)
- Internal Medicine, Gastroenterology · 207RG0100X
- Taxonomy (6)
- Pediatrics, Neurodevelopmental Disabilities · 2080P0008X
- Taxonomy (7)
- Allergy & Immunology, Allergy · 207KA0200X
- Taxonomy (8)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jacksonville Children'S And Multispecialty Clinic, PA?
The NPI number of Jacksonville Children'S And Multispecialty Clinic, PA is 1164519070. It was assigned on October 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Jacksonville Children'S And Multispecialty Clinic, PA?
Jacksonville Children'S And Multispecialty Clinic, PA is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does Jacksonville Children'S And Multispecialty Clinic, PA practice?
The practice location is 118 Memorial Dr, Jacksonville, NC 28546-6328. The office can be reached at 910-353-0581 (phone) or 910-353-1351 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164519070 directly on the NPPES registry website.