Active NPI
Jack Haughey Schimmoeller, MSPO, CPO
- Prosthetist
- Clayton, NC
National Provider Identifier
1184577959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CPO05844
- Practice address
- 166 Springbrook Ave Ste 105
Clayton, NC 27520-8520 - Phone
- (919) 585-4173
- NPI assigned
- Feb 19, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CPO05844 | NC | Primary |
Addresses
Primary practice location
166 Springbrook Ave Ste 105
Clayton, NC 27520-8520
Mailing address
166 Springbrook Ave Ste 105
Clayton, NC 27520-8520
Phone (919) 585-4173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPO05844 | NC | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1184577959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 SPRINGBROOK AVE STE 105",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275208520",
"telephone_number": "919-585-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 SPRINGBROOK AVE STE 105",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275208520",
"telephone_number": "919-585-4173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIMMOELLER",
"first_name": "JACK",
"middle_name": "HAUGHEY",
"credential": "MSPO, CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-19",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NC",
"license": "CPO05844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.