Individual provider Active NPI

Dennis Michael Jacobs, D.O.

  • Anesthesiology Physician
  • Charlotte, NC
National Provider Identifier
1780664896
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DO-979 Issued in SC
Practice address
927 East Blvd
Charlotte, NC 28203-5203
Phone
(803) 288-3534
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 9601128 NC
Anesthesiology Physician 207L00000X DO-979 SC Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X DO-979 SC

Addresses

Primary practice location

927 East Blvd
Charlotte, NC 28203-5203

Mailing address

927 East Blvd
Charlotte, NC 28203-5203
Phone (803) 288-3534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060830000531 SC Practitioner - AnesthesiologyPractitioner - Pain Management 3173527389 Reassigns benefits to 4 organizations
I20070723000288 NC Practitioner - Anesthesiology 3173527389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Ohio University, College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

25 Hospital Ctr Blvd
Hilton Head, SC 29926-2738
Phone (843) 681-6122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9601128NCMDAnesthesiology Physician
DO-979SCMDAnesthesiology Physician
979SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Aug 1, 2008 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 14, 2025 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Jul 21, 2017 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 14, 2025 Accepting new patients
Low Country Anesthesia, PA Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology Past Accepting new patients
Lancaster Anesthesia & Associates, PA Anesthesiology Past Accepting new patients
Carolina Anesthesia and Pain Management, LLC Anesthesiology Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

927 East Blvd
Charlotte, NC 28203
Phone (704) 348-1855

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

118 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3124

Organizations & group practices 8

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 3

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1780664896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035203",
            "telephone_number": "803-288-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035203",
            "telephone_number": "803-288-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "9601128",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "DO-979",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "DO-979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.