Kelly R Durham (NPI# 1326093956, PAC ID# 3375691751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1326093956 |
| PAC ID by PECOS | 3375691751 |
| Professional Enrollment ID | I20090608000598 |
| Full Name | Kelly R Durham |
| Organization Legal Name | JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC |
| Address |
114 A Memorial Dr Jacksonville NC 28546-6328 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6709968811 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 114 A Memorial Dr, Jacksonville, NC 28546-6328 | JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC | |
| 118 Memorial Dr, Jacksonville, NC 28546-6328 | 9103530581 | JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC |
| 120 Memorial Dr, Jacksonville, NC 28546-6328 | 9103530581 | JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC |
| 1106 Main St Ext, Swansboro, NC 28584-9114 | 9103250581 | JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC |
| Organization Legal Name | JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvette Y Longoria | Emergency Medicine | Jacksonville Children's and Multispecialty Clinic | 114 A Memorial Dr, Jacksonville, NC 28546-6328 |
| Jack E Wilcox | Nurse Practitioner | Jacksonville Children's and Multispecialty Clinic | 114 A Memorial Dr, Jacksonville, NC 28546-6328 |
| Amanda Sweet | Physician Assistant | Jacksonville Children's and Multispecialty Clinic | 114 A Memorial Dr, Jacksonville, NC 28546-6328 |
| Ishwar H Gopichand | Pediatric Medicine | Jacksonville Children's and Multispecialty Clinic | 114 A Memorial Dr, Jacksonville, NC 28546-6328 |
| Arnold Olegario | Pediatric Medicine | Jacksonville Children's and Multispecialty Clinic | 120 Memorial Dr, Jacksonville, NC 28546-6328 |
| Maria Soto | Pediatric Medicine | Jacksonville Children's and Multispecialty Clinic | 120 Memorial Dr, Jacksonville, NC 28546-6328 |
| Street Address |
114 A MEMORIAL DR |
| City | JACKSONVILLE |
| State | NC |
| Zip | 28546-6328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luanne G Sheaffer | Physician Assistant | Jacksonville Children's and Multispecialty Clinic, Pa | 114 A Memorial Dr, Jacksonville, NC 28546-6328 |
| Carol S Raynor | Nurse Practitioner | Jacksonville Children's and Multispecialty Clinic, Pa | 114 A Memorial Dr, Jacksonville, NC 28546-6328 |
| James David Shumate | Family Medicine | Jacksonville Children's and Multispecialty Clinic, Pa | 114 A Memorial Dr, Jacksonville, NC 28546-6328 |
| Yvette Y Longoria | Emergency Medicine | Jacksonville Children's and Multispecialty Clinic | 114 A Memorial Dr, Jacksonville, NC 28546-6328 |
| Jack E Wilcox | Nurse Practitioner | Jacksonville Children's and Multispecialty Clinic | 114 A Memorial Dr, Jacksonville, NC 28546-6328 |
| Amanda Sweet | Physician Assistant | Jacksonville Children's and Multispecialty Clinic | 114 A Memorial Dr, Jacksonville, NC 28546-6328 |
| Ishwar H Gopichand | Pediatric Medicine | Jacksonville Children's and Multispecialty Clinic | 114 A Memorial Dr, Jacksonville, NC 28546-6328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Logan Alexander Kaptis | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Taylor Elise Curfman | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Brianne Landholt | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Kelly Cabanne | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Scott A Playford | Sports Medicine | Emergeortho Pa | 2000 Brabham Ave, Jacksonville, NC 28546-0200 |
| Antionio E Rodriguez | Cardiovascular Disease (cardiology) | Carolinaeast Physicians | 4275 Western Blvd, Jacksonville, NC 28546-1100 |
| Becky Holmberg | Physical Therapy | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| David Donald Johanson | Physical Therapy | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| Patrice L Stange | Occupational Therapy | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| Neil Duane Jones | General Surgery | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| Find all physicians in zip 28546 | |||
| City | JACKSONVILLE |
| Zip Code | 28546 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JACKSONVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelly R Durham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.