Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA KARLA SAJOR
NPI 1710771613
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Jessica Karla Sajor's NPI number?

The NPI number for Jessica Karla Sajor is 1710771613. It was assigned to this individual provider in the NPPES registry on April 7, 2025. The provider is also known as Jessica Sajor.

Q: What is Jessica Karla Sajor's specialty?

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

Active since April 07, 2025PECOS Enrolled

2001 VAIL AVE STE 400, CHARLOTTE, NC 28207(704) 304-7000 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 26, 2026, May 13, 2026, Jul 1, 2025 and 1 more (4 updates tracked since 2025).

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About Jessica Karla Sajor NPPES

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

JESSICA KARLA SAJOR (NPI 1710771613) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (2025).

NPPES Registry Identity

NPI1710771613

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJESSICA KARLA SAJOR

Location Address2001 VAIL AVE STE 400Charlotte, NC 28207-1222

Mailing Address827 Forest Park RdColumbia, SC 29209-2581 · (843) 323-5208

Phone(704) 304-7000

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2025

Enumeration DateApril 7, 2025

Last NPPES UpdateAugust 26, 20264 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1710771613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License LL94607 (NC)

2001 VAIL AVE STE 400, Charlotte, NC 28207

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Other Names 1

Other Name (5)Jessica Sajor

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

Jessica Karla Sajor 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 ID3971010471

PECOS Enrollment IDI20250729003847

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 7

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

DR. LAKSHMI NAMRATHA KONERU MD

Student in an Organized Health Care Education/Training Program