JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA – NPI #1164519070
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA is a provider located in JACKSONVILLE, NC. NPPES has assigned the NPI number 1164519070 to JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA on October 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 12 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Jan 19, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA below.

NPI Profile for
JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA

NPI Number
1164519070
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA
Primary location
118 MEMORIAL DR
JACKSONVILLE, NC 28546-6328
Phone: (910) 353-0581 Fax: (910) 353-1351
12 Other location(s):
319 Wb McLean Dr
Cape Carteret, NC 28584-8516
Phone: (252) 424-0004
Fax: (252) 764-0019
114A Memorial Dr
Jacksonville, NC 28546-6328
Phone: (910) 353-0700
Fax: (910) 353-5305
114C Memorial Dr
Jacksonville, NC 28546-6328
Phone: (910) 353-9688
Fax: (910) 353-7498
120 Memorial Dr
Jacksonville, NC 28546-6328
Phone: (910) 353-0581
Fax: (910) 577-1150
152 Memorial Ct
Jacksonville, NC 28546-6322
Phone: (910) 219-8326
Fax: (910) 353-0600
156 Memorial Ct
Jacksonville, NC 28546-6322
Phone: (910) 353-0680
Fax: (910) 353-3629
3004 Bridges St
Morehead City, NC 28557-3330
Phone: (252) 727-4933
Fax: (252) 727-4936
107 S Wilmington St
Richlands, NC 28574-8298
Phone: (910) 324-7268
Fax: (910) 324-7273
8399 Richlands Hwy
Richlands, NC 28574-7390
Phone: (910) 324-7268
Fax: (910) 324-7273
108 Lakeside Dr
Sneads Ferry, NC 28460-9415
Phone: (910) 327-5437
Fax: (910) 327-5436
1106 Main Street Ext
Swansboro, NC 28584-9114
Phone: (910) 325-0581
Fax: (910) 325-0582
5710 Oleander Dr Ste 200
Wilmington, NC 28403-4722
Phone: (910) 799-1810
Fax: (910) 799-9644
Mailing address
PO BOX 986513
DEPARTMENT 100
BOSTON, MA 02298-6513
Phone: (910) 219-8326 Fax: (910) 939-4269
Organization Subpart
No
Authorized Official
ISHWAR GOPICHAND
CMO
Phone: (919) 589-1240
Updated
Certification Date
Jan 19, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNC1164519070
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
2080P0202X
- Pediatrics / Pediatric Cardiology
2080P0008X
- Pediatrics / Neurodevelopmental Disabilities
2080N0001X
- Pediatrics / Neonatal-Perinatal Medicine
208000000X
- Pediatrics
207RG0100X
- Internal Medicine / Gastroenterology
207R00000X
- Internal Medicine
207KA0200X
- Allergy & Immunology / Allergy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.