NPIMap

Individual provider Active NPI

James William Jacobs, MD

  • Internal Medicine Physician
  • Cary, NC
National Provider Identifier
1942349055
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9401420 Issued in NC
Practice address
115 Crescentcommons Dr Ste 250
Cary, NC 27518-8134
Phone
(919) 859-9954
Fax
(919) 859-9957
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9401420 NC Primary

Addresses

Primary practice location

115 Crescentcommons Dr Ste 250
Cary, NC 27518-8134

Mailing address

115 Crescentcommons Dr Ste 250
Cary, NC 27518-8134
Phone (919) 859-9954

Other identifiers 6

IdentifierTypeStateIssuer
110142291OtherRAILROAD MEDICARE
0452682OtherUNITED HEALTHCARE
60538OtherMEDCOST
8416097OtherCIGNA
8945587MedicaidNC
45587OtherNCBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.jacobs.1@12938.direct.athenahealth.com Direct

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
I20100211000161 NC Practitioner - Internal Medicine 2365422706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jacobs and Van Cleeff Internal Medicine, PCGroup PAC ID 8325182298, 2 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

115 Crescentcommons Dr
Suite 250
Cary, NC 27518-8134
Phone (919) 859-9954

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9401420NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacobs and Van Cleeff Internal Medicine, PC Internal Medicine CurrentSince Jan 21, 2010 Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Locations

115 Crescentcommons Dr
Ste 250
Cary, NC 27518
Phone (919) 859-9866

Interoperability endpoints

  • Direct secure messaging: james.jacobs.1@12938.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1942349055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CRESCENTCOMMONS DR STE 250",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188134",
            "telephone_number": "919-859-9954",
            "fax_number": "919-859-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CRESCENTCOMMONS DR STE 250",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188134",
            "telephone_number": "919-859-9954",
            "fax_number": "919-859-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9401420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110142291",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0452682",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "60538",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8416097",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945587",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45587",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.jacobs.1@12938.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "115 Crescentcommons Dr Ste 250",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275188134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.