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DR. KERRITH LYN JAECKEL M.D.
NPI 1508828054
Pediatrics in Charlotte, NC

Active since April 03, 2006
14215 BALLANTYNE CORPORATE PL, SUITE 130, CHARLOTTE, NC 28277(704) 384-1950(704) 384-1955 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Oct 25, 2020 (2 updates tracked since 2020).

About Dr. Kerrith Lyn Jaeckel M.d. NPPES

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

DR. KERRITH LYN JAECKEL M.D. (NPI 1508828054) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (9700294) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1508828054
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KERRITH LYN JAECKELCredential: M.D.
Location Address14215 BALLANTYNE CORPORATE PL, SUITE 130Charlotte, NC 28277-3671
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1950 · Fax (704) 384-1955
Phone(704) 384-1950
Fax(704) 384-1955
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1508828054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 9700294
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
14215 BALLANTYNE CORPORATE PL, Charlotte, NC 28277
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Other Identifiers 2

MedicaidN00295SC
Medicaid891050RNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 8

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

LISA M. DELACRUZ PNP
Nurse Practitioner
14215 BALLANTYNE CORPORATE PL, SUITE 130
CHARLOTTE, NC 28277
Mecklenburg County (704) 384-1950
JACKSONVILLE DIAGNOSTIC IMAGING LLC
Radiology (Diagnostic Radiology)
14215 BALLANTYNE CORPORATE PL
CHARLOTTE, NC 28277
Mecklenburg County (704) 384-1890
NOVANT HEALTH MEDICAL GROUP, LLC
Pediatrics
14215 BALLANTYNE CORPORATE PL, SUITE 130
CHARLOTTE, NC 28277
Mecklenburg County (704) 384-1950
MRS. ELIZABETH ANN BARTIS NP
Nurse Practitioner
14215 BALLANTYNE CORPORATE PL, SUITE 130
CHARLOTTE, NC 28277
Mecklenburg County (704) 384-1950
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
14215 BALLANTYNE CORPORATE PL, SUITE 110
CHARLOTTE, NC 28277
Mecklenburg County (704) 541-6117
NOVANT MEDICAL GROUP, INC
Internal Medicine (Sleep Medicine)
14215 BALLANTYNE CORPORATE PL, SUITE 240
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-5000
MS. SHARON MCVAY O'BRIEN PA-C
Physician Assistant
14215 BALLANTYNE CORPORATE PL, SUITE 230
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-5000
EMILY C CIOVACCO PA-C
Physician Assistant
14215 BALLANTYNE CORPORATE PL, SUITE 230
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-5000

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 Kerrith Jaeckel's NPI number?

The NPI number for Kerrith Jaeckel is 1508828054. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Kerrith Jaeckel located?

Kerrith Jaeckel practices at 14215 Ballantyne Corporate Pl Suite 130, Charlotte, NC 28277. The listed phone number is (704) 384-1950.

What is Kerrith Jaeckel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Kerrith Jaeckel accept?

Health plans from Blue Cross and Blue Shield of NC list Kerrith Jaeckel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kerrith Jaeckel was last updated on March 7, 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.