Individual provider Active NPI

Jayla Marie Caffey

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1891496824
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001014649 Issued in NC
Practice address
135 W 10TH St
Charlotte, NC 28202-2229
Phone
(704) 626-3994
Fax
(704) 585-8039
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001014649 NC Primary

Addresses

Primary practice location

135 W 10TH St
Charlotte, NC 28202-2229

Mailing address

135 W 10TH St
Charlotte, NC 28202-2229
Phone (704) 626-3994

Other practice location 1

131 Providence Rd
Charlotte, NC 28207-1206
Phone (980) 265-8859

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241203003545 NC Practitioner - Physician Assistant 6305372194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001014649NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Pediatric Clinic, P.a. Past Accepting new patients
Reserve Health, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13989/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1891496824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W 10TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022229",
            "telephone_number": "704-626-3994",
            "fax_number": "704-585-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 10TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022229",
            "telephone_number": "704-626-3994",
            "fax_number": "704-585-8039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Providence Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071206",
            "country_code": "US",
            "telephone_number": "980-265-8859",
            "fax_number": "704-585-8039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAFFEY",
        "first_name": "JAYLA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001014649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.