JK2C, LLC (NPI# 1396280350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396280350 |
| Entity Type | Organization |
| Organization Name | JK2C, LLC |
| Other Organization Name | ELIZABETH CITY TREATMENT CENTER |
| Practice Address |
105 Medical Dr Elizabeth City NC 27909-3361 |
| Mailing Address |
109 Wimbledon Square Suite H Chesapeake VA 23320 |
| Practice Telephone | 7578483478 |
| Practice Fax Number | 7573943094 |
| Mailing Telephone | 7574107966 |
| Mailing Fax Number | 7573943094 |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |
| Authorized Official Name | MR. CHRISTOPHER GERALD FONTANA (CEO) |
| Authorized Official Telephone | 7578483478 |
| Authorized Official Credential | CSAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| ELIZABETH CITY TREATMENT CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942862487 | Jk2c, LLC | Community/Behavioral Health | 800 Park St, Williamston, NC 27892-2769 | 2019-07-05 |
| 1184181018 | Jk2c, LLC | Community/Behavioral Health | 312 Academy St S, Ahoskie, NC 27910-3200 | 2019-02-27 |
| 1245520717 | Jk2c, LLC | Clinic/Center | 109 Wimbledon Sq, Unit H, Chesapeake, VA 23320-4945 | 2011-04-18 |
| Street Address |
105 MEDICAL DR |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825694 | Carolina Surgical Care Associates, P. A. | Specialist | 105 Medical Dr, Elizabeth City, NC 27909-3361 | 2005-07-18 |
| 1366077687 | Melissa Smith | Counselor | 105 Medical Dr, Elizabeth City, NC 27909-3361 | 2020-03-06 |
| 1124214036 | Ear,nose&throat Head,neck&sinus Surgery,pc | Clinic/Center | 105 Medical Dr, Elizabeth City, NC 27909-3361 | 2007-09-25 |
| 1700987062 | Anthony W Jackson Sr. | Otolaryngology | 105 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-09-26 |
| 1942254677 | Madonna Nicole Morgan | Audiologist | 105 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051631 | Jackson Home for Veterans | Health Maintenance Organization | 2633 Juniper Dr, Charlotte, NC 28269-4004 | 2020-10-20 |
| 1073046033 | Zz Home Care, LLC | Health Maintenance Organization | 928 S Main St, Burlington, NC 27215-5757 | 2017-04-06 |
| 1609325653 | Nc Wellness | Health Maintenance Organization | 511 Dr Martin Luther King Jr Dr N, Ahoskie, NC 27910-7615 | 2016-09-30 |
| 1518414697 | Biltmore Housing Inc | Health Maintenance Organization | 236 Lees Creek Road Unit D, Asheville, NC 28806-5104 | 2016-09-06 |
| 1699136713 | Telernow | Health Maintenance Organization | 5820 Loch Raven Pointe Loop, Unit 106, Raleigh, NC 27604-9609 | 2016-03-17 |
| 1073973053 | Kamley Peralte | Health Maintenance Organization | 6421 Virgilia Ct, Raleigh, NC 27616-3170 | 2016-03-03 |
| 1982071080 | Boe Healthcare Consulting | Health Maintenance Organization | 6162 Balsam Fir Dr, Charlotte, NC 28212-4502 | 2015-08-25 |
| 1235505272 | Quality Healthcare Systems, Inc | Health Maintenance Organization | 284 N Emily Ct, High Point, NC 27265-7666 | 2015-08-13 |
| 1538544424 | Changing Famlies & Lives | Health Maintenance Organization | 8517 Galena View Dr, Charlotte, NC 28269-7179 | 2015-07-21 |
| 1851774715 | Video Therapy | Health Maintenance Organization | 4208 Six Forks Rd Ste 1000, Raleigh, NC 27609-5738 | 2015-07-09 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.