Active NPI
Seth Liam Jaussen, PA-C
- Physician Assistant
- Fayetteville, NC
National Provider Identifier
1568069748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-10657
- Practice address
- 1991 Fordham Dr
Fayetteville, NC 28304-3773 - Phone
- (910) 491-6793
- Fax
- (833) 428-3630
- NPI assigned
- Oct 1, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-10657 | NC | Primary |
Addresses
Primary practice location
1991 Fordham Dr
Fayetteville, NC 28304-3773
Mailing address
PO Box 39240
Belfast, ME 04915-1234
Other practice location 1
115 Kildaire Park Dr
Cary, NC 27518-8130
Phone (919) 238-1110
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-10657 | NC | MD | Physician Assistant |
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- High Point, NC
- NPI 1669701306
-
- General Practice Physician
- Jacksonville, NC
- NPI 1033565007
-
- Pulmonary Disease Physician
- Cary, NC
- NPI 1710707609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1568069748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39240",
"city": "BELFAST",
"state": "ME",
"postal_code": "049151234",
"fax_number": "910-333-0513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 FORDHAM DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043773",
"telephone_number": "910-491-6793",
"fax_number": "833-428-3630"
}
],
"practiceLocations": [
{
"address_1": "115 Kildaire Park Dr",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275188130",
"country_code": "US",
"telephone_number": "919-238-1110",
"fax_number": "833-428-3628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAUSSEN",
"first_name": "SETH",
"middle_name": "LIAM",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-01",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-10657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.