NPIMap

Organization Active NPI

Jacobs and Van Cleeff Internal Medicine, PC

  • Internal Medicine Physician
  • Cary, NC
National Provider Identifier
1093045494
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
162003 Issued in NC
Legal business name
JACOBS AND VAN CLEEFF INTERNAL MEDICINE, PC
Practice address
115 Crescent Commons Dr
Suite 250
Cary, NC 27518
Phone
(919) 859-9954
Fax
(919) 859-9957
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James William Jacobs, MDNPI 1942349055
Title
President
Phone
(919) 859-9954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 162003 NC Primary

Addresses

Primary practice location

115 Crescent Commons Dr
Suite 250
Cary, NC 27518

Mailing address

115 Crescentcommons Dr Ste 250
Cary, NC 27518-8134
Phone (919) 859-9954

Other names 1

  • James Jacobs MD, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100216000093 NC Part B Supplier - Clinic/Group Practice 8325182298 Receives reassigned benefits from 2 practitioners
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

115 Crescentcommons Dr
Ste 250
Cary, NC 27518
Phone (919) 859-9866

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1093045494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CRESCENTCOMMONS DR STE 250",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188134",
            "telephone_number": "919-859-9954",
            "fax_number": "919-859-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CRESCENT COMMONS DR",
            "address_2": "SUITE 250",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-859-9954",
            "fax_number": "919-859-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS AND VAN CLEEFF INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-859-9954",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "162003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James Jacobs MD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "James Jacobs MD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.