Caitlin Megan Jacobs, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5016787 Issued in NC

Practice address

1309 Lees Chapel Rd
Greensboro, NC 27455-2601

Phone

(336) 800-8958

NPI assigned

Aug 16, 2022

Last updated

Oct 27, 2022By 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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of North Carolina at Chapel Hill School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dawson Med Urgent Care PCGroup PAC ID 9638575855, 6 clinicians

Dawson Med PCGroup PAC ID 8921404286, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caitlin.jacobs.1@24025.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24025/brand/2/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/7942/brand/1/csg/1/fhir/r4

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.

• Dawson Med PC

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1487224283

  Family

  Medicare reassignment Care Compare group NPD
• Dawson Med Urgent Care, PC

  dba Dawson Med Uregent Care, PC

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1053981787
  Medicare reassignment Care Compare group NPD
• Generations Family Practice, PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1407902059
  Medicare reassignment NPD
• Dawson Street Urgent Care &Medical Center,PA

  • Urgent Care Clinic/Center
  • Wilmington, NC
  • NPI 1740472992
  NPD
• Generations Family Practice, PA

  dba Kernersville Primary Care

  • Family Medicine Physician
  • Kernersville, NC
  • NPI 1003558461
  NPD
• Generations Family Practice, PA

  dba Triad Internal Medicine

  • Internal Medicine Physician
  • Asheboro, NC
  • NPI 1043894504
  NPD

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1508584582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 LEES CHAPEL RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552601",
            "telephone_number": "336-800-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 LEES CHAPEL RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552601",
            "telephone_number": "336-800-8958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 W Mountain St",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272842534",
            "country_code": "US",
            "telephone_number": "336-993-1618",
            "fax_number": "336-993-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "CAITLIN",
        "middle_name": "MEGAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016787",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "236514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vera Mae Jackson
• Sera L Jacob, MD
• Anna Victoria Jacobs, PA
• Bret Charles Jacobs, D.O.
• Brianna Kaitlin Jacobs
• Christopher Dewayne Jacobs
• Daniel Patrick Jacobs, MD
• Kristen Taylor Jacobsen, OD
• Anyela Jacome Ceron
• Sam Jacubowitz, MD

• Family Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.