OrganizationActiveAccepts Medicare

Jacksonville Children'S and Multispecialty Clinic, PA

NPI 1164519070 · Family Medicine Physician · Jacksonville, NC

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1164519070
Entity type: Organization
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Ishwar Gopichand, Cmo(919) 589-1240

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000X
Allopathic & Osteopathic Physicians
Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Pediatric Cardiology Physician2080P0202X
Allopathic & Osteopathic Physicians
Neonatal-Perinatal Medicine Physician2080N0001X
Allopathic & Osteopathic Physicians
Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
Pediatric Neurodevelopmental Disabilities Physician2080P0008X

Profile Score

Detailed profile(99/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
13 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

118 Memorial Dr

Jacksonville, NC 28546-6328

Phone: (910) 353-0581

Fax: (910) 353-1351

Street-level locationGet directions

More NC providers

Mailing address

Po Box 986513

Boston, MA 02298-6513

Additional practice locations (12)

319 Wb Mclean Dr
Cape Carteret, NC 28584-8516
Phone: (252) 424-0004
Fax: (252) 764-0019
120 Memorial Dr
Jacksonville, NC 28546-6328
Phone: (910) 353-0581
Fax: (910) 577-1150
114c Memorial Dr
Jacksonville, NC 28546-6328
Phone: (910) 353-9688
Fax: (910) 353-7498
114a Memorial Dr
Jacksonville, NC 28546-6328
Phone: (910) 353-0700
Fax: (910) 353-5305
156 Memorial Ct
Jacksonville, NC 28546-6322
Phone: (910) 353-0680
Fax: (910) 353-3629
152 Memorial Ct
Jacksonville, NC 28546-6322
Phone: (910) 219-8326
Fax: (910) 353-0600
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

Enumerated: 2006-10-10
Last updated: 2026-01-19
Certified: 2026-01-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.