Jorge Luis Caceres Jr., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

NC 102392 Issued in NC

Practice address

116 Campus Ave
Raeford, NC 28376-2606

Phone

(910) 875-9087

Fax

(910) 875-4597

NPI assigned

Apr 4, 2006

Last updated

Sep 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcaceres@landmarkhealth-direct.org

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.

• Rockfish Medical Clinic, PLLC

  dba The Jordan Clinic

  • Family Medicine Physician
  • Raeford, NC
  • NPI 1629101746
  NPD Authorized official
• Advantage Medsolutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Raeford, NC
  • NPI 1033440680
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1407818586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 BITTERSWEET DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062518",
            "telephone_number": "910-875-9087",
            "fax_number": "910-875-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CAMPUS AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762606",
            "telephone_number": "910-875-9087",
            "fax_number": "910-875-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "NC 102392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• C&a Community Intervention Services
• Erin Elizabeth Cain, M.S. CCC-SLP
• Noemi Call
• Kurtis Lorenzo Campbell
• Canyon Hills Treatment Facility, LLC
• Cape Fear Orthopaedic Clinic, P.a.

• Medical Physician Assistant in Raeford, NC
• Providers in Raeford, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.