JACOB FAULTERSACK MD
NPI 1427792290
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC
NPI Status: Active since April 26, 2022
Contact Information
6013 FARRINGTON RD STE 301
CHAPEL HILL, NC
ZIP 27517
Phone: (984) 974-6669
Fax: (984) 974-9609
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About JACOB FAULTERSACK
This page provides the complete NPI Profile along with additional information for Jacob Faultersack, a primary care provider established in Chapel Hill, North Carolina with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1427792290 assigned on April 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1427792290
- Provider Name
- JACOB FAULTERSACK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517
- Location Phone
- (984) 974-6669
- Location Fax
- (984) 974-9609
- Mailing Address
- 230 MACNIDER HALL CAMPUS BOX 7593 CHAPEL HILL, NC 27599
- Mailing Phone
- (919) 966-3172
- Mailing Fax
- (984) 974-9609
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-26-2022
- Last Update Date
- 04-26-2022
- Code Navigator
A primary care provider (PCP) like Jacob Faultersack sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License State
- NC
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Jacob Faultersack is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 7 | 9 | 2 | 2 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 14 | 9 | 4 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 1 + 4 + 9 + 4 + 2 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1427792290 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073748117 | DR. ABIGAIL GILBERT MD Individual | Internal Medicine (Rheumatology) | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-4191 |
| 1740514355 | MRS. SHANA CORTEE' WALLER BRYE FNP Individual | Nurse Practitioner (Family) | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-2645 |
| 1306481379 | GRACE SMOAK FNP Individual | Nurse Practitioner (Family) | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-4191 |
| 1386176998 | LEAH BETTNER Individual | Internal Medicine | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-4191 |
| 1598347130 | ROHIT JASWANEY MD Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
| 1275115651 | JOSHUA TAYLOR COONS MD Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
| 1710569108 | SYED NASEERUDDIN AHMED Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
| 1518549559 | MENNA AWADALLA Individual | Pediatrics | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
| 1801479183 | DR. IBRAHIM ALHAJI MOHAMMED MD Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
| 1528641644 | TAYLOR FISH MD Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
| 1043894736 | MARIA ANSAR Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
| 1275117707 | HOLLY NICOLE PHILLIPPE DO Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
| 1578139051 | DR. GHALLIA SOUAD KAOUK MD Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
| 1215672860 | CAITLIN PIPER GREEN MD Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (919) 974-6669 |
| 1518602200 | KATHLEEN ROSE O'HARA MD Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
| 1598409286 | MOLLY DECRISTO Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
| 1932843919 | JOSEPH ALLEN CORNETT Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
| 1114666278 | RIM MEHARI MD, MPH Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
| 1619613080 | JAMES BRUCE NEWTON Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
| 1841935038 | COURTNEY CAHOY MD Individual | Student in an Organized Health Care Education/Training Program | 6013 FARRINGTON RD STE 301 CHAPEL HILL, NC 27517 (984) 974-6669 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427792290, enumerated in the NPI registry as an "individual" on April 26, 2022
The provider is located at 6013 Farrington Rd Ste 301 Chapel Hill, Nc 27517 and the phone number is (984) 974-6669
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 26, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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