Jaesan PC
Jaesan PC is a healthcare organization registered as Speech-Language Pathologist in Charlotte, NC, holding Type 2 (organization) NPI 1003940933 since 2007. The authorized official on file is Kai Jerrell, Ceo/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003940933 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jaesan PC |
| Other name | <Unavail> |
| Practice address | 3116 MILTON RD STE F, Charlotte, NC, 28215 |
| Phone | 9802376226 |
| Fax | 9802376288 |
| Enumeration date | 2007-03-15 |
| Last updated in NPPES | 2021-10-27 |
Authorized official
| Name | Kai Jerrell |
|---|---|
| Title | Ceo/Owner |
| Phone | 9802376226 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist | Secondary | 5842 | NC |
| 235Z00000X | Speech-Language Pathologist | Secondary | 6278 | NC |
| 235Z00000X | Speech-Language Pathologist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7411868 | Medicaid | NC | — |
| 7212056 | Medicaid | NC | — |
Copy-ready billing details
Provider: Jaesan PC NPI: 1003940933 Taxonomy: 235Z00000X (Speech-Language Pathologist) Address: 3116 MILTON RD STE F, Charlotte, NC, 28215
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699073197 | Kai Jerrell | Individual | Speech-Language Pathologist | Charlotte, NC |
| 1669004784 | Alexandra Golkin | Individual | Speech-Language Pathologist | Charlotte, NC |
| 1164169470 | Chiqueeta Martin | Individual | Speech-Language Pathologist | Charlotte, NC |
Verify this record
Cross-check NPI 1003940933 against the authoritative CMS record: view Jaesan PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Jaesan PC?
What is the NPI number for Jaesan PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-10-27.