Sopna E Jacob, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2014-01098 Issued in NC

Practice address

1700 Tarboro St W
Suite 200
Wilson, NC 27893-3481

Phone

(252) 399-5310

Fax

(252) 399-5311

NPI assigned

Sep 22, 2006

Last updated

Jul 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DLP Wilson Physician Practices LLC

  • Family Medicine Physician
  • Wilson, NC
  • NPI 1932521010

  Internal Medicine

  Medicare reassignment NPD
• DLP Wilson Physician Practices LLC

  dba Wilson Primary Care

  • Rural Health Clinic/Center
  • Wilson, NC
  • NPI 1992482079
  NPD
• Ipc Hospitalist Physicians of New Jersey PC

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1639303159
  NPD (past)
• Primed Medical Care PC

  • Internal Medicine Physician
  • Hackettstown, NJ
  • NPI 1972619807
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1184723405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TARBORO ST W",
            "address_2": "SUITE 200",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933481",
            "telephone_number": "252-399-5310",
            "fax_number": "252-399-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TARBORO ST W",
            "address_2": "SUITE 200",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933481",
            "telephone_number": "252-399-5310",
            "fax_number": "252-399-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SOPNA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07953200",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2014-01098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J & L Summerville Academy
• Anthony Benedict Jackson, NP
• Matthew Jackson, PHARMD
• Megan Alexandra Jackson
• Shannon Byrd Jackson, RD, LDN
• Amanda H Janda, PA-C
• Krupa Jani, DMD
• Anita Burleson Jarrard, MSW, LCSW
• Nirav Manubhai Jasani, MD
• Jasmine R Elmore DDS PLLC

• Internal Medicine Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.