Active NPI
Joseph Elmer Jacobson, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Salisbury, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 2022-00307
- Practice address
- 810 Mitchell Ave
Salisbury, NC 28144-6253 - Phone
- (704) 216-5633
- Fax
- (704) 639-0785
- NPI assigned
- May 17, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 11018692 | IN | |
| Orthopaedic Surgery Physician | 207X00000X | 2022-00307 | NC | |
| Orthopaedic Surgery Physician | 207X00000X | 87991 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11018692A | IN | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 2022-00307 | NC | Primary |
Addresses
Primary practice location
810 Mitchell Ave
Salisbury, NC 28144-6253
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 216-5633
Other practice location 1
1120 W Michigan St
Suite 600
Indianapolis, IN 46202-5209
Phone (317) 278-5835
Other names 1
- Joseph Elmer Jacobson
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
810 Mitchell Ave
Salisbury, NC 28144-6253
Phone (704) 216-5633
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 13 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11018692 | IN | MD | Orthopaedic Surgery Physician |
| 2022-00307 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
4741 Randolph Rd
#100
Charlotte, NC 28211
Phone (704) 365-6730
1910 Jake Alexander Blvd W
Ste 202
Salisbury, NC 28147
Phone (704) 216-5633
810 Mitchell Ave
Salisbury, NC 28144
Phone (704) 216-2633
1035 Lincolnton Rd
Ste F
Salisbury, NC 28144
Phone (704) 216-5633
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- jjacobson42672@direct.emory.org
- jjacobson1055587@direct.novanthealth.org
Organizations & group practices 5
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.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Orthopedics & Sports Medicine
- Orthopaedic Surgery Physician
- Salisbury, NC
- NPI 1770827388
-
dba NHMG Primary Care Clinics
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Rowan Medical Center
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1982051280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-216-5633",
"fax_number": "704-639-0785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 MITCHELL AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281446253",
"telephone_number": "704-216-5633",
"fax_number": "704-639-0785"
}
],
"practiceLocations": [
{
"address_1": "1120 W Michigan St",
"address_2": "Suite 600",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025209",
"country_code": "US",
"telephone_number": "317-278-5835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBSON",
"first_name": "JOSEPH",
"middle_name": "ELMER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-17",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "11018692",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2022-00307",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "87991",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11018692A",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "NC",
"license": "2022-00307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSEPH",
"last_name": "JACOBSON",
"middle_name": "ELMER",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Salisbury, NC
- J David Boyd DDS PA
- J N Holmes MD and Associates General Internal Medicine PLLC
- J. Stephen Selden DDS and Associates, PA
- Felicia Maria Jabs, MA, BCBA, LBA
- Kina Ladawn Jackson, AGNP
- Alex Jadidian, PH.D.
- Kiran K Jagarlamudi, M.D.
- Prachee Jain, M.D.
- Beverly Ann Jalbert, RRT/RCP
- James K. Jolly, D.D.S, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.