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JACKSON CARL ROSSBOROUGH
NPI 1811742984
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since April 22, 2024PECOS Enrolled
101 MANNING DR, CHAPEL HILL, NC 27514(919) 966-4653 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Carl Rossborough NPPES

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

JACKSON CARL ROSSBOROUGH (NPI 1811742984) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811742984
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON CARL ROSSBOROUGH
Location Address101 MANNING DRChapel Hill, NC 27514-4220
Mailing Address101 Manning Dr 4008 Burnett Womack Bldg Cb 7228Chapel Hill, NC 27599-4220 · (919) 966-4653
Phone(919) 966-4653
Sole ProprietorYes
Enumeration DateApril 22, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1811742984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
101 MANNING DR, Chapel Hill, NC 27514
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Carl Rossborough 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 20

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

DR. TERESA MARY ANDERSON PHARM.D.
Pharmacist (Pharmacotherapy)
101 MANNING DR, CB 7600
CHAPEL HILL, NC 27514
Orange County (919) 966-2457
DR. KAMAKSHI V RAO PHARMD, BCOP
Pharmacist (Oncology)
101 MANNING DR, CB#7600, UNC HOSPITAL
CHAPEL HILL, NC 27514
Orange County (919) 966-1434
MS. MELODY ANN WATRAL MSN, RN, CPNP
Nurse Practitioner
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (919) 966-8809
MORGAN TREPTE PHARM.D.
Pharmacist (Oncology)
101 MANNING DR, CB 7600
CHAPEL HILL, NC 27514
Orange County (984) 974-8346
TREVOR STEPHEN BARLOWE
Student in an Organized Health Care Education/Training Program
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (984) 974-1000
KRISTIN M HEAD RN
Registered Nurse
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (984) 974-5421
KALYNN ANNE NORTHAM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (984) 974-3765
KEVIN IVAN MORALES DEL MORAL
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (984) 974-1000

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 Jackson Rossborough's NPI number?

The NPI number for Jackson Rossborough is 1811742984. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Jackson Rossborough located?

Jackson Rossborough practices at 101 Manning Dr, Chapel Hill, NC 27514. The listed phone number is (919) 966-4653.

What is Jackson Rossborough's specialty?

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

Is Jackson Rossborough enrolled in Medicare?

Yes. Jackson Rossborough is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackson Rossborough was last updated on April 22, 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.