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)
Jacksonville Children'S and Multispecialty Clinic, PA is a Family Medicine Physician organization in Jacksonville, NC (NPI 1164519070).
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
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
Profile Score
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
Mailing address
Additional practice locations (12)
- 319 Wb Mclean DrCape Carteret, NC 28584-8516Phone: (252) 424-0004Fax: (252) 764-0019
- 120 Memorial DrJacksonville, NC 28546-6328Phone: (910) 353-0581Fax: (910) 577-1150
- 114c Memorial DrJacksonville, NC 28546-6328Phone: (910) 353-9688Fax: (910) 353-7498
- 114a Memorial DrJacksonville, NC 28546-6328Phone: (910) 353-0700Fax: (910) 353-5305
- 156 Memorial CtJacksonville, NC 28546-6322Phone: (910) 353-0680Fax: (910) 353-3629
- 152 Memorial CtJacksonville, NC 28546-6322Phone: (910) 219-8326Fax: (910) 353-0600
- 3004 Bridges StMorehead City, NC 28557-3330Phone: (252) 727-4933Fax: (252) 727-4936
- 107 S Wilmington StRichlands, NC 28574-8298Phone: (910) 324-7268
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2026-01-19
- Certified
- 2026-01-19
Frequently asked questions
- What is Jacksonville Children'S and Multispecialty Clinic, PA's NPI number?
- Jacksonville Children'S and Multispecialty Clinic, PA's National Provider Identifier (NPI) is 1164519070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Children'S and Multispecialty Clinic, PA?
- Jacksonville Children'S and Multispecialty Clinic, PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jacksonville Children'S and Multispecialty Clinic, PA located?
- Jacksonville Children'S and Multispecialty Clinic, PA's practice location on file with NPPES is 118 Memorial Dr, Jacksonville, NC 28546-6328.
- What is Jacksonville Children'S and Multispecialty Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Children'S and Multispecialty Clinic, PA is (910) 353-0581.
- Does Jacksonville Children'S and Multispecialty Clinic, PA accept Medicare?
- Jacksonville Children'S and Multispecialty Clinic, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jacksonville Children'S and Multispecialty Clinic, PA?
- The authorized official listed on Jacksonville Children'S and Multispecialty Clinic, PA's NPPES record is Ishwar Gopichand, Cmo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Children'S and Multispecialty Clinic, PA's NPI active?
- Yes — Jacksonville Children'S and Multispecialty Clinic, PA's NPI (1164519070) is active in the NPPES registry as of the last update on 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.