Shalom Medical PC
NPI 1467759985 · Primary Care Clinic/Center · Jacksonville, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shalom Medical PC is a Primary Care Clinic/Center organization in Jacksonville, NC (NPI 1467759985).
Provider details
- NPI number
- 1467759985
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Benjamin Mozie, Medical Director/President(731) 334-9011
- License
- 2010-01876 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2011-02-18
- Last updated
- 2011-02-18
Frequently asked questions
- What is Shalom Medical PC's NPI number?
- Shalom Medical PC's National Provider Identifier (NPI) is 1467759985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shalom Medical PC?
- Shalom Medical PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shalom Medical PC located?
- Shalom Medical PC's practice location on file with NPPES is 1102 Henderson Dr, Jacksonville, NC 28540-5203.
- What is Shalom Medical PC's phone number?
- The practice phone number listed in the NPPES registry for Shalom Medical PC is (731) 334-9011.
- Does Shalom Medical PC accept Medicare?
- Shalom Medical PC 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 Shalom Medical PC?
- The authorized official listed on Shalom Medical PC's NPPES record is Benjamin Mozie, Medical Director/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shalom Medical PC's NPI active?
- Yes — Shalom Medical PC's NPI (1467759985) is active in the NPPES registry as of the last update on 2011-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.