Individual provider Active NPI

Jessica Fay, D.C.

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1881832889
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3923 Issued in NC
Practice address
800 Saint Marys St
Suite 100
Raleigh, NC 27605-1400
Phone
(919) 832-3365
Fax
(919) 832-8259
NPI assigned
Jan 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3923 NC Primary

Addresses

Primary practice location

800 Saint Marys St
Suite 100
Raleigh, NC 27605-1400

Mailing address

800 Saint Marys St
Suite 100
Raleigh, NC 27605-1400
Phone (919) 832-3365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130308000514 NC Practitioner - Chiropractic 7113172552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Oak City Chiropractic, PLLCGroup PAC ID 8527327642, 3 clinicians

Practice addresses (Care Compare)

875 Washington St
Suite a
Raleigh, NC 27605-3252
Phone (919) 213-0881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3923NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak City Chiropractic, PLLC Chiropractor CurrentSince Oct 21, 2017 Accepting new patients
Body in Balance Chiropractic Chiropractor Past Accepting new patients

Locations

875 Washington St
Ste A
Raleigh, NC 27605
Phone (919) 213-0881

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.

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1881832889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SAINT MARYS ST",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051400",
            "telephone_number": "919-832-3365",
            "fax_number": "919-832-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SAINT MARYS ST",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051400",
            "telephone_number": "919-832-3365",
            "fax_number": "919-832-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAY",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.