JILLIAN SARA TABOR FNP-C
NPI 1306603832
Nurse Practitioner in Southport, NC

Q: What is Jillian Tabor's NPI number?

The NPI number for Jillian Tabor is 1306603832. It was assigned to this individual provider in the NPPES registry on March 1, 2024.

Q: What is Jillian Tabor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jillian Tabor was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 01, 2024PECOS EnrolledAccepts Medicare Assignment

924 N HOWE ST, SOUTHPORT, NC 28461(910) 454-1192 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jillian Sara Tabor Fnp-c NPPES

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

JILLIAN SARA TABOR FNP-C (NPI 1306603832) is an individual nurse practitioner in Southport, North Carolina, licensed in North Carolina (5019704) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with J Arthur Dosher Memorial Hospital, and is a graduate of University Of South Alabama College Of Medicine (2023).

NPPES Registry Identity

NPI1306603832

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJILLIAN SARA TABORCredential: FNP-C

Location Address924 N HOWE STSouthport, NC 28461-3099

Mailing Address3504 E Pelican DrOak Island, NC 28465-5853 · (910) 619-7836 · Fax (877) 807-7381

Phone(910) 454-1192

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2023

Enumeration DateMarch 1, 2024

Last NPPES UpdateJuly 10, 2024

NPPES CertifiedJuly 10, 2024

✔ NPI 1306603832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5019704

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

924 N HOWE ST, Southport, NC 28461

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jillian Sara Tabor Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688116130

PECOS Enrollment IDI20240612000561

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC

OwnershipVoluntary non-profit - Other

CMS Certification Number341327

Location924 Howe StSouthport, NC 28461 · Brunswick County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ZIAOLLAH HASHEMI M.D.

Personal Emergency Response Attendant