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

DR. JACOB ROBERT SORENSEN DO
NPI 1992446801
Pediatrics in Mount Airy, NC

Active since April 05, 2022PECOS Enrolled
865 WESTLAKE DR, MOUNT AIRY, NC 27030(336) 719-6100(336) 719-2313 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 15, 2026, Jun 9, 2025, Apr 5, 2022 (3 updates tracked since 2022).

About Dr. Jacob Robert Sorensen Do NPPES

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

DR. JACOB ROBERT SORENSEN DO (NPI 1992446801) is an individual pediatrics provider in Mount Airy, North Carolina, licensed in North Carolina (2025-02286) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1992446801
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JACOB ROBERT SORENSENCredential: DO
Location Address865 WESTLAKE DRMount Airy, NC 27030-2102
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 719-6100
Phone(336) 719-6100
Fax(336) 719-2313
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateSeptember 15, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1992446801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2025-02286
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.
865 WESTLAKE DR, Mount Airy, NC 27030
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Secondary Practice Location 1

Location 1100 Robinhood Medical PlzWinston Salem, NC 27106-5472 · Phone (336) 718-0800

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. Jacob Robert Sorensen Do 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 27030 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

SAVANNAH HODGES NP-C
Nurse Practitioner
865 WESTLAKE DR
MOUNT AIRY, NC 27030
Surry County (336) 719-6100
KARA GRACE MORGAN
Student in an Organized Health Care Education/Training Program
865 WESTLAKE DR
MOUNT AIRY, NC 27030
Surry County (704) 475-2516
FORSYTH MEMORIAL HOSPITAL, INC
Family Medicine
865 WESTLAKE DR
MOUNT AIRY, NC 27030
Surry County (336) 719-6100
DR. SAMANTHA KASEY ANDERSON PT, DPT
Physical Therapist
865 WESTLAKE DR
MOUNT AIRY, NC 27030
Surry County (336) 719-6165
MRS. PRESLEY MAELAHA CHURCH WELBORN FNP-C
Nurse Practitioner
865 WESTLAKE DR
MOUNT AIRY, NC 27030
Surry County (336) 719-6100
MRS. KIMBERLY GILLISPIE SPENCER LPC
Counselor (Mental Health)
865 WESTLAKE DR
MOUNT AIRY, NC 27030
Surry County (336) 719-6100

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 Jacob Sorensen's NPI number?

The NPI number for Jacob Sorensen is 1992446801. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Jacob Sorensen located?

Jacob Sorensen practices at 865 Westlake Dr, Mount Airy, NC 27030. The listed phone number is (336) 719-6100.

What is Jacob Sorensen's specialty?

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

Is Jacob Sorensen enrolled in Medicare?

Yes. Jacob Sorensen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Sorensen was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.