Charles Taylor Jensen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-08202 Issued in NC

Practice address

2101 W Arlington Blvd Ste 210
Greenville, NC 27834-5758

Phone

(252) 752-5000

Fax

(252) 931-7694

NPI assigned

Jun 18, 2018

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

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

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Radiologists IncGroup PAC ID 2466355383, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324
• Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cjensen439820@direct.novanthealth.org
• Direct secure messaging: charlesjensen@arhs.allscriptsdirect.net
• Direct secure messaging: cjensen1013854@direct.unc.nchie.net

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.

• Eastern Radiologists Inc

  • Diagnostic Radiology Physician
  • Greenville, NC
  • NPI 1215990171
  Medicare reassignment Care Compare group NPD
• Appalachian Regional Medical Associates, Inc.

  • Family Medicine Physician
  • Boone, NC
  • NPI 1669533923
  Medicare reassignment
• Eastern Radiologists, Inc

  • Diagnostic Radiology Physician
  • Washington, NC
  • NPI 1275847279
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pitt County Memorial Hospital Inc

  • General Acute Care Hospital
  • Washington, NC
  • NPI 1780359687
  Care Compare affiliation
• Pitt County Memorial Hospital, Inc

  • General Acute Care Hospital
  • Greenville, NC
  • NPI 1043218944
  Care Compare affiliation
• The Outer Banks Hospital Inc

  • Critical Access Hospital
  • Nags Head, NC
  • NPI 1053375253
  Care Compare affiliation

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1659865343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30750",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278330750",
            "telephone_number": "252-931-7638",
            "fax_number": "252-931-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W ARLINGTON BLVD STE 210",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345758",
            "telephone_number": "252-752-5000",
            "fax_number": "252-931-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "CHARLES",
        "middle_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tadana Prayer Jennette
• Jennifer Fishel, OD, PA
• Jill Jennings, RD, LDN
• Preppy B Jennings, R PH
• Ashley Jensen, DNP FNP
• Sarah Jenson, SLP
• Jennifer Leigh Jernigan, MD
• Jolene Crouch Jernigan, FNP
• Kelly L Jernigan, FNP
• Taylor Jernigan, PA

• Physician Assistant in Greenville, NC
• Providers in Greenville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.
• 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.