Kayla Jacobs

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-09695 Issued in NC

Practice address

812 Candy Park Rd
Pembroke, NC 28372-9120

Phone

(910) 521-0201

NPI assigned

Jan 8, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kayla.jacobs.1@29216.direct.athenahealth.com
• Direct secure messaging: kaylajacobs@lumbertonc.allscriptsdirect.net

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1205476165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 RED HILL RD",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283648085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CANDY PARK RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729120",
            "telephone_number": "910-521-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Liberty Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582446",
            "country_code": "US",
            "telephone_number": "910-739-3318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-09695",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J & S Care Inc.
• J & S Care Inc.
• J & S Care Inc.
• Carita Jacobs, CEO AND FOUNDER
• Dora Lena Jacobs, MPC, LCASA
• Landa Michelle Jacobs, MSW, LCSWA
• Leanna Jacobs
• Charlotte Lee Johnson, PHARMD
• Melisa Laurianne Johnson
• Telejakalia Johnson

• Physician Assistant in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.