JACKSONVILLE TREATMENT CENTER
NPI 1750821229
Clinic/Center - Rehabilitation, Substance Use Disorder in Jacksonville, NC

NPI Status: Active since March 03, 2017

Contact Information

291 HUFF DR
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 347-2205
Fax: (910) 347-2216

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About JACKSONVILLE TREATMENT CENTER

This page provides the complete NPI Profile along with additional information for Jacksonville Treatment Center, a provider established in Jacksonville, North Carolina operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1750821229 assigned on March 2017. The practitioner's primary taxonomy code is 261QR0405X with license number MHL-067-166 (NC). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Macy Melissa Hamm J.d. (Sponsor)

NPI
1750821229
Provider Name
JACKSONVILLE TREATMENT CENTER
Entity Type
Organization
Location Address
291 HUFF DR JACKSONVILLE, NC 28546
Location Phone
(910) 347-2205
Location Fax
(910) 347-2216
Mailing Address
1112 SILVER OAKS CT RALEIGH, NC 27614
Mailing Phone
(919) 656-1633
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2017
Last Update Date
10-30-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
MHL-067-166
License State
NC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

MHL-067-166 (NC)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MACY MELISSA HAMM J.D.

Authorized Official Title
SPONSOR
Authorized Official Phone
(919) 656-1633

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

This service was performed 769 times for 20 patients

Reviews for JACKSONVILLE TREATMENT CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750821229
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100162224
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 2 + 2 + 2 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1750821229 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942264833DR. WESLEY F HAMBRIGHT M.D.
Individual
Specialist291 HUFF DR
JACKSONVILLE, NC 28546
(910) 577-4255
1346370061JACKSONVILLE OBSTETRICS, GYNECOLOGY & INFERTILITY, P.A.
Organization
Specialist291 HUFF DR
JACKSONVILLE, NC 28546
(910) 577-4255
1447997903 FELICIANA INOCENTA QUINN
Individual
Counselor (Addiction (Substance Use Disorder))291 HUFF DR
JACKSONVILLE, NC 28546
(910) 347-2205
1497492391 ARIEL EVANS CADC-R
Individual
Counselor (Addiction (Substance Use Disorder))291 HUFF DR
JACKSONVILLE, NC 28546
(910) 347-2205
1871145953 SHAKIRA N BELL MS, LCAS, CCS-I
Individual
Counselor (Addiction (Substance Use Disorder))291 HUFF DR
JACKSONVILLE, NC 28546
(910) 347-2205
1043042716 GINA LEE BANKS LCSW-A
Individual
Social Worker (Clinical)291 HUFF DR
JACKSONVILLE, NC 28546
(910) 347-2205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750821229, enumerated in the NPI registry as an "organization" on March 03, 2017

The provider is located at 291 Huff Dr Jacksonville, Nc 28546 and the phone number is (910) 347-2205

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

The most common procedures or services performed by this practitioner are: Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm.

This NPI record was last updated on March 03, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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