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DR. CHARLES WEST JACOCKS IV MD
NPI 1720051105
Internal Medicine - Cardiovascular Disease in Fayetteville, NC

Active since February 08, 2006PECOS Enrolled
2300 RAMSEY ST RM 304-A, FAYETTEVILLE, NC 28301(910) 488-2120 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles West Jacocks Iv Md NPPES

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

DR. CHARLES WEST JACOCKS IV MD (NPI 1720051105) is an individual cardiovascular disease provider in Fayetteville, North Carolina, licensed in South Carolina (14114) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720051105
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. CHARLES WEST JACOCKS IVCredential: MD
Location Address2300 RAMSEY ST RM 304-AFayetteville, NC 28301-3856
Mailing Address2300 Ramsey St Rm 304-aFayetteville, NC 28301-3856 · (910) 488-2120
Phone(910) 488-2120
Sole ProprietorNo
Enumeration DateFebruary 8, 2006
Last NPPES UpdateJuly 31, 2019
✔ NPI 1720051105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in SC · 14114
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2300 RAMSEY ST RM 304-A, Fayetteville, NC 28301
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Other Identifiers 1

Medicaid141144SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles West Jacocks Iv 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28301 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Charles Jacocks's NPI number?

The NPI number for Charles Jacocks is 1720051105. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Charles Jacocks located?

Charles Jacocks practices at 2300 Ramsey St Rm 304-A, Fayetteville, NC 28301. The listed phone number is (910) 488-2120.

What is Charles Jacocks's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Charles Jacocks enrolled in Medicare?

Yes. Charles Jacocks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Jacocks was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.