Individual provider Active NPI

Jacqueline Denise Folks, MD

  • Internal Medicine Physician
  • Gastonia, NC
National Provider Identifier
1356337091
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200200896 Issued in NC
Practice address
1867 Remount Rd
Ste D
Gastonia, NC 28054-7401
Phone
(704) 854-8799
Fax
(704) 854-8803
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200200896 NC Primary

Addresses

Primary practice location

1867 Remount Rd
Ste D
Gastonia, NC 28054-7401

Mailing address

1867 Remount Rd
Suite D
Gastonia, NC 28054-7401
Phone (704) 854-8799

Other identifiers 1

IdentifierTypeStateIssuer
89132PJMedicaidNC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050922000915 NC Practitioner - Internal Medicine 4587698154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

2240 Remount Rd
Gastonia, NC 28054-4725

600 W Trade St
Suite a
Dallas, NC 28034-1543
Phone (704) 834-2450

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Gastonia, NC, CCN 347131
  • Centerwell Home Health Home health agency, Shelby, NC, CCN 347317
  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince Dec 3, 2007 Accepting new patients
Caromont Medical Group Inc CurrentSince Dec 3, 2007 Accepting new patients
Caromont Medical Group Inc PastSince Jan 1, 1990 Accepting new patients
Caromont Medical Group Inc PastSince Jan 1, 1990 Accepting new patients
Caromont Medical Group Inc PastSince Jan 1, 1990 Accepting new patients
Caromont Medical Group Inc PastSince Jan 1, 1990 Accepting new patients
Caromont Medical Group Inc PastSince Jan 1, 1990 Accepting new patients
Caromont Medical Group Inc PastSince Jan 1, 1990 Accepting new patients
Caromont Medical Group Inc PastSince Jan 1, 1990 Accepting new patients
Caromont Medical Group Inc PastSince Jan 1, 1990 Accepting new patients
Caromont Medical Group Inc PastSince Jan 1, 1990 Accepting new patients
Caromont Medical Group Inc PastSince Jan 1, 1990 Accepting new patients
Caromont Medical Group, Inc. PastSince Jan 1, 1990 Accepting new patients
Caromont Medical Group, Inc. PastSince Jan 1, 1990 Accepting new patients
Caromont Medical Group, Inc. PastSince Jan 1, 1990 Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients
Caromont Medical Group Inc PastSince Jan 1, 1990 Accepting new patients

Locations

600 W Trade St
Ste A
Dallas, NC 28034
Phone (980) 834-9130

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311

Organizations & group practices 18

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

View all 18

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1356337091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 REMOUNT RD",
            "address_2": "SUITE D",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547401",
            "telephone_number": "704-854-8799",
            "fax_number": "704-854-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 REMOUNT RD",
            "address_2": "STE D",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547401",
            "telephone_number": "704-854-8799",
            "fax_number": "704-854-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLKS",
        "first_name": "JACQUELINE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200200896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132PJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.