NPIMap

Individual provider Active NPI

Jacob Tomas Emerson, MD

  • Urology Physician
  • Concord, NC
National Provider Identifier
1851859342
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2024-01213 Issued in NC
Practice address
1085 NE Gateway CT NE Ste 100
Concord, NC 28025-2411
Phone
(704) 707-2200
Fax
(704) 707-2203
NPI assigned
Mar 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 2024-01213 NC Primary

Addresses

Primary practice location

1085 NE Gateway CT NE Ste 100
Concord, NC 28025-2411

Mailing address

1085 NE Gateway CT NE Ste 180
Concord, NC 28025-2407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904000448 NC Practitioner - Urology 7517292758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rush Medical College of Rush University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Specialists of the Carolinas PLLCGroup PAC ID 0648178020, 78 clinicians
Stone Institute of the Carolinas LLCGroup PAC ID 3173412533, 29 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

1085 NE Gateway CT NE
Suite 100
Concord, NC 28025-2407
Phone (704) 707-2200

215 S Main St
Suite 201
Davidson, NC 28036-8039
Phone (704) 896-2120

6604 Roberta Rd
Harrisburg, NC 28075-9532
Phone (419) 221-6717

Hospital & facility affiliations

  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183
  • Atrium Health University City Hospital, Charlotte, NC, CCN 340166
  • Stanly Regional Medical Center Hospital, Albemarle, NC, CCN 340119
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Institute of the Carolinas LLC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Urology Specialists of the Carolinas PLLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients

Locations

1085 NE Gateway Ct NE
Ste 100
Concord, NC 28025
Phone (704) 707-2200

1085 NE Gateway Ct NE
Ste 180
Concord, NC 28025
Phone (704) 707-2200

Interoperability endpoints

  • Direct secure messaging: jemerson@urologyspecialistsnc.emadirect.md
  • Direct secure messaging: jemerson2946102@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: jemerson1589982@direct.novanthealth.org

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 12

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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1851859342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 NE GATEWAY CT NE STE 180",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 NE GATEWAY CT NE STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252411",
            "telephone_number": "704-707-2200",
            "fax_number": "704-707-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "JACOB",
        "middle_name": "TOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-04",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NC",
            "license": "2024-01213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.