Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Open Water Medical, PA

Organization Family Medicine Physician · NPI 1497490957

Open Water Medical, PA provides Family Medicine Physician services in Jacksonville, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11 Ofc Park DR
Jacksonville, NC 28546-7326
Phone: (910) 353-9906
Fax: (910) 353-4853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1497490957
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tisha Smith — Practice Manager · (252) 728-5737
NPI enumeratedApril 29, 2022
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022
Mailing address1620c Live Oak St, Beaufort, NC 28516-1583

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