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NICOLE JACOBS MD
NPI 1619313202
Psychiatry & Neurology - Child & Adolescent Psychiatry in Southern Pines, NC

Active since May 22, 2013PECOS Enrolled
195 WEST ILLINOIS AVENUE, ATTN: APRIL SMITH, SOUTHERN PINES, NC 28387(910) 692-2444(910) 692-3031 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2020, Aug 9, 2019, Jul 31, 2019 and 1 more (4 updates tracked since 2018).

About Nicole Jacobs Md NPPES

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

NICOLE JACOBS MD (NPI 1619313202) is an individual child & adolescent psychiatry provider in Southern Pines, North Carolina, licensed in North Carolina (2014-02452) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619313202
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameNICOLE JACOBSCredential: MD
Location Address195 WEST ILLINOIS AVENUE, ATTN: APRIL SMITHSouthern Pines, NC 28387
Mailing Address195 West Illinois Avenue, Attn: April SmithSouthern Pines, NC 28387 · (910) 692-2444 · Fax (910) 692-3031
Phone(910) 692-2444
Fax(910) 692-3031
Sole ProprietorYes
Enumeration DateMay 22, 2013
Last NPPES UpdateApril 27, 20204 updates tracked since enumeration
NPPES CertifiedApril 27, 2020
✔ NPI 1619313202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NC · 2014-02452
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 2014-02452 (NC)
195 WEST ILLINOIS AVENUE, Southern Pines, NC 28387
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Secondary Practice Locations 2

Location 1155 Grant Street, ATTN: April SmithWest End, NC 27376 · Phone (910) 692-2444 ext. 249 · Fax (910) 692-3031
Location 2116A Campus Avenue, ATTN: April SmithRaeford, NC 28376 · Phone (910) 692-2444 ext. 249 · Fax (910) 692-3031

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Jacobs 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

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

KAMERON ANSLEY ALLEN CPNP
Nurse Practitioner (Pediatrics)
195 WEST ILLINOIS AVENUE, ATTN: MELANIE GODFREY
SOUTHERN PINES, NC 28387
Moore County (910) 692-2444

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 Nicole Jacobs's NPI number?

The NPI number for Nicole Jacobs is 1619313202. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Where is Nicole Jacobs located?

Nicole Jacobs practices at 195 West Illinois Avenue Attn: April Smith, Southern Pines, NC 28387. The listed phone number is (910) 692-2444.

What is Nicole Jacobs's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Nicole Jacobs enrolled in Medicare?

Yes. Nicole Jacobs is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Jacobs accept?

Health plans from Blue Cross and Blue Shield of NC list Nicole Jacobs 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 Nicole Jacobs was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.