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JACK ANDREW GROSSWEILER
NPI 1124815642
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since April 21, 2025PECOS Enrolled
N2198, CB7010, CHAPEL HILL, NC 27599(919) 966-5136(984) 974-4873 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Andrew Grossweiler NPPES

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

JACK ANDREW GROSSWEILER (NPI 1124815642) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina, licensed in North Carolina (RTL25-0057) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124815642
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK ANDREW GROSSWEILER
Location AddressN2198, CB7010Chapel Hill, NC 27599-7010
Mailing AddressN2198, Cb7010Chapel Hill, NC 27599-7010 · (919) 966-5136 · Fax (984) 974-4873
Phone(919) 966-5136
Fax(984) 974-4873
Sole ProprietorNo
Enumeration DateApril 21, 2025
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1124815642 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
License✔ Licensed in NC · RTL25-0057
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.
N2198, CB7010, Chapel Hill, NC 27599
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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)

Jack Andrew Grossweiler 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 9

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

JOSH TYLER GOH
Student in an Organized Health Care Education/Training Program
N2198, CB7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136
JUSTIN DAVID WAIN DO
Student in an Organized Health Care Education/Training Program
N2198, CB7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136
CORRIE NICOLE CLEO JACKSON MD
Student in an Organized Health Care Education/Training Program
N2198, CB7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136
BRYAN GINIKA OBIKA MD
Student in an Organized Health Care Education/Training Program
N2198, CB7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136
MORGAN SCHOCK
Student in an Organized Health Care Education/Training Program
N2198, CB7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136
REBECCA LANDON SCHOPFER MD
Student in an Organized Health Care Education/Training Program
N2198, CB7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136
KHALED KITTANA MD
Student in an Organized Health Care Education/Training Program
N2198, CB7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136
ANDREW JOSEPH DELAHUNTY MD
Anesthesiology
N2198, CB7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Grossweiler's NPI number?

The NPI number for Jack Grossweiler is 1124815642. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Jack Grossweiler located?

Jack Grossweiler practices at N2198, Cb7010, Chapel Hill, NC 27599. The listed phone number is (919) 966-5136.

What is Jack Grossweiler's specialty?

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

Is Jack Grossweiler enrolled in Medicare?

Yes. Jack Grossweiler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Grossweiler was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.