Active NPI
Jennifer Allison Jahns, PA-C
- Physician Assistant
- Huntersville, NC
National Provider Identifier
1649755869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-08287
- Practice address
- 9930 Kincey Ave Ste 100
Huntersville, NC 28078-6541 - Phone
- (855) 501-1004
- Fax
- (866) 441-1292
- NPI assigned
- Oct 3, 2018
- Last updated
- Feb 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 0010-08287 | NC | Primary |
Addresses
Primary practice location
9930 Kincey Ave Ste 100
Huntersville, NC 28078-6541
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900
Other practice location 1
280 Executive Park Dr Ste 100
Concord, NC 28025-1838
Phone (704) 237-4240
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
Interoperability endpoints
- mpsc.jennifer.jahns@114018.advancedmd-direct.com
Organizations & group practices 1
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.
-
dba Mindpath Health, a practice of, MindPath Care Centers, North Carolina,
- Psychiatry Physician
- Durham, NC
- NPI 1508803214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1649755869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341954",
"telephone_number": "916-576-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 KINCEY AVE STE 100",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786541",
"telephone_number": "855-501-1004",
"fax_number": "866-441-1292"
}
],
"practiceLocations": [
{
"address_1": "280 Executive Park Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280251838",
"country_code": "US",
"telephone_number": "704-237-4240",
"fax_number": "704-547-3150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAHNS",
"first_name": "JENNIFER",
"middle_name": "ALLISON",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-03",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-08287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.