Individual provider Active NPI

Jennifer Miller Scharbius, M.D.

  • Family Medicine Physician
  • Mooresville, NC
National Provider Identifier
1629414107
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016-01010 Issued in NC
Practice address
170 Medical Park Rd Ste 201
Mooresville, NC 28117-8541
Phone
(704) 664-4679
NPI assigned
May 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2016-01010 NC Primary

Addresses

Primary practice location

170 Medical Park Rd Ste 201
Mooresville, NC 28117-8541

Mailing address

PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277

Other names 1

  • Ms. Jennifer Ann Miller Former name

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
I20160920001586 NC Practitioner - Family Practice 6103127022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Healthcare PAGroup PAC ID 9638070683, 226 clinicians

Practice addresses (Care Compare)

128 Medical Park Rd
Suite 102
Mooresville, NC 28117-8578
Phone (704) 978-3566

129 Sherlock Dr
Statesville, NC 28625-1916
Phone (704) 838-8245

138 Sherlock Dr
Statesville, NC 28625-1916
Phone (704) 873-1021

1404 Fern Creek Dr
Statesville, NC 28625-9376
Phone (704) 978-4025

142 Sherlock Dr
Statesville, NC 28625-1916
Phone (704) 838-8256

1424 B Fern Creek Dr
Statesville, NC 28625-9376
Phone (704) 872-0224

1446 Fern Creek Dr
Statesville, NC 28625-9376
Phone (704) 873-9617

150 Fairview Rd
Suite 200
Mooresville, NC 28117-9507
Phone (704) 235-6200

152 Sherlock Dr
Statesville, NC 28625-1916
Phone (704) 838-8210

170 Medical Park Rd
Mooresville, NC 28117-8540

208 Old Mocksville Rd
Statesville, NC 28625-1930
Phone (704) 878-2011

357 Williamson Rd
Mooresville, NC 28117-5935
Phone (704) 664-7328

359 Williamson Rd
Mooresville, NC 28117-5935
Phone (704) 235-1838

650 Signal Hill Dr Ext
Statesville, NC 28625-4353

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016-01010NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Healthcare, PA CurrentSince Nov 19, 2018 Accepting new patients
Piedmont Healthcare, P.a. Family Medicine CurrentSince Nov 19, 2018 Accepting new patients

Locations

170 Medical Park Rd
Ste 201
Mooresville, NC 28117
Phone (704) 235-0305

150 Fairview Rd
Ste 210
Mooresville, NC 28117
Phone (704) 235-0300

208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215

650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277

Interoperability endpoints

  • Direct secure messaging: jenniferscharbius@phc.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1368230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1629414107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1845",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286871845",
            "telephone_number": "704-873-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MEDICAL PARK RD STE 201",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178541",
            "telephone_number": "704-664-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARBIUS",
        "first_name": "JENNIFER",
        "middle_name": "MILLER",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-11",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2016-01010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MILLER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.