Individual provider Active NPI

Jad Georges Skaf, MD

  • Clinical Cardiac Electrophysiology Physician
  • Fayetteville, NC
National Provider Identifier
1770813719
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
201501848 Issued in NC
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(910) 615-4000
NPI assigned
Jan 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2015-01848 NC
Cardiovascular Disease Physician 207RC0000X 37368 SC
Clinical Cardiac Electrophysiology Physician 207RC0001X 37368 SC
Clinical Cardiac Electrophysiology Physician 207RC0001X 201501848 NC Primary

Addresses

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

2596 Edmonton Rd
Fayetteville, NC 28304-3704
Phone (215) 609-9676

Other practice location 1

125 Queens Rd Ste 200
Charlotte, NC 28204-3578
Phone (704) 343-9800

Other identifiers 2

IdentifierTypeStateIssuer
7153OtherSCMEDICARE GROUP
373688MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC, NC, ND4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20140801001566 PA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 7012181639 Reassigns benefits to 4 organizations
I20141120000147 SC Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7012181639 Reassigns benefits to 1 organization
I20151027002364 NC Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 7012181639 Reassigns benefits to 4 organizations
I20210330001337 ND Practitioner - Cardiac Electrophysiology 7012181639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

240 Middletown Blvd
Langhorne, PA 19047-1832

450 S Washington St
Suite a
Gettysburg, PA 17325-2500
Phone (717) 339-3105

9501 Roosevelt Blvd
Philadelphia, PA 19114-1025
Phone (215) 624-6162

Hospital & facility affiliations

  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-01848NCMDInternal Medicine Physician
37368SCMDCardiovascular Disease Physician
201501848NCMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group Internal Medicine CurrentSince Nov 13, 2023 Accepting new patients
The Presbyterian Hospital Internal Medicine Current Accepting new patients
Saint Vincent Consultants in Cardiovascular Diseases Cardiovascular Disease CurrentSince Aug 23, 2022 Accepting new patients
Aria Health Physician Services CurrentSince Jan 15, 2020 Accepting new patients
Temple Physician Inc. Internal Medicine CurrentSince May 15, 2014 Accepting new patients
Aria Health Physician Services - Cardiology Internal Medicine CurrentSince Jan 15, 2020 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jun 1, 2015 Accepting new patients
St. Alexius Medical Center CurrentSince Mar 8, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Temple Physicians Inc Internal Medicine Current Accepting new patients
Wellspan Medical Group CurrentSince Nov 13, 2023 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Jun 1, 2023 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 1, 2023 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Jun 1, 2023 Accepting new patients
Cardinal Heart & Vascular, PLLC Cardiovascular Disease CurrentSince Sep 4, 2019 Accepting new patients
St Alexius Medical Center CurrentSince Mar 8, 2021 Accepting new patients
The Presbyterian Hospital Cardiovascular Disease CurrentSince Jun 1, 2023 Accepting new patients
Temple Physicians Inc CurrentSince May 15, 2014 Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Aria Health Physician Services Past Accepting new patients
Cardiovascular Associates of the Delaware Valley,P a Cardiovascular Disease PastSince Sep 1, 2023 Accepting new patients

Locations (25 of 32)

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Ste 200
Charlotte, NC 28204

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100

125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

10030 Gilead Rd
Ste 201
Huntersville, NC 28078
Phone (704) 598-6042

1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

134 Medical Park Rd
Ste 200
Mooresville, NC 28117
Phone (704) 384-7972

2609 S Horner Blvd
Sanford, NC 27332
Phone (919) 718-0102

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

338 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 218-5103

12 St Paul Dr
Ste 204
Chambersburg, PA 17201
Phone (717) 217-6886

22 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6020

12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026

2315 Myrtle St
Ste 190
Erie, PA 16502
Phone (814) 453-7767

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

450 S Washington St
Ste A
Gettysburg, PA 17325
Phone (717) 339-3105

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

Interoperability endpoints

  • Direct secure messaging: jskaf301042@wellspan.direct-ci.com

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 4

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": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1770813719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2596 EDMONTON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043704",
            "telephone_number": "215-609-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Queens Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043578",
            "country_code": "US",
            "telephone_number": "704-343-9800",
            "fax_number": "704-347-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKAF",
        "first_name": "JAD",
        "middle_name": "GEORGES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-13",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2015-01848",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "37368",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "SC",
            "license": "37368",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NC",
            "license": "201501848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "7153",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373688",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.