JACK MAVERICK O'HARA
NPI 1255278990
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC
About Jack Maverick O'hara NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK MAVERICK O'HARA (NPI 1255278990) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina, licensed in North Carolina (337870) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Maverick O'hara is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHAPEL HILL, NC 27599
CHAPEL HILL, NC 27599
CHAPEL HILL, NC 27599
CHAPEL HILL, NC 27599
CHAPEL HILL, NC 27599
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 O'hara's NPI number?
The NPI number for Jack O'hara is 1255278990. It was assigned to this individual provider in the NPPES registry on April 30, 2026.
Where is Jack O'hara located?
Jack O'hara practices at 590 Manning Dr, Chapel Hill, NC 27599. The listed phone number is (984) 974-4888.
What is Jack O'hara'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 O'hara enrolled in Medicare?
Yes. Jack O'hara is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jack O'hara was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jack Maverick O'hara · NPI 1255278990
Student in an Organized Health Care Education/Training Program provider in Chapel Hill, North Carolina. Individual provider, active in the CMS NPPES registry since April 30, 2026.
## Identity
- **NPI:** 1255278990 (Entity type: Individual)
- **Enumerated:** April 30, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 337870 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 590 MANNING DR, Chapel Hill, NC 27599-7595
- **Phone:** (984) 974-4888
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 5, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1255278990) · Data from the CMS NPPES public registry.