Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jonathan Juturu Jack, MD

Individual provider Internal Medicine Physician · NPI 1730250267

Dr. Jonathan Juturu Jack, MD is an Internal Medicine in Roanoke Rapids, North Carolina. Qualified in 1980, 46 years ago. Practices with Rural Health Group Inc, a 62-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
46
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

270 Smith Church Rd
Roanoke Rapids, NC 27870
Phone: (252) 537-0134
Fax: (252) 537-6515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 9701417 (NC)

Record details

NPI number1730250267
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 13, 2021
Certification dateJuly 13, 2021
Mailing addressPo Box 640, Roanoke Rapids, NC 27870-0640

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Rural Health Group Inc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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