JAMAL JARRETT MD
NPI 1013602168
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Jamal Jarrett's NPI number?

The NPI number for Jamal Jarrett is 1013602168. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Q: What is Jamal Jarrett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jamal Jarrett was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 05, 2023PECOS Enrolled

2001 VAIL AVE STE 400, CHARLOTTE, NC 28207(913) 544-7794 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jamal Jarrett Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMAL JARRETT MD (NPI 1013602168) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013602168

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJAMAL JARRETTCredential: MD

Location Address2001 VAIL AVE STE 400Charlotte, NC 28207-1222

Mailing Address2054 S 102nd St Apt 15West Allis, WI 53227-1375

Phone(913) 544-7794

Sole ProprietorNo

Enumeration DateApril 5, 2023

NPPES CertifiedApril 5, 2023

✔ NPI 1013602168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2001 VAIL AVE STE 400, Charlotte, NC 28207

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamal Jarrett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAKSHMI NAMRATHA KONERU MD

Student in an Organized Health Care Education/Training Program