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Jaesan PC

Speech-Language Pathologist in Charlotte, NC · enumerated 2007 · authorized official Kai Jerrell, Ceo/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003940933

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Registry record

Entity type Organization (Type 2)
Legal business name Jaesan PC
Other name <Unavail>
Practice address 3116 Milton Rd Ste F, Charlotte, NC, 28215
Fax (980) 237-6288
Enumeration date Mar 15, 2007
Last updated in NPPES Oct 27, 2021

Taxonomy & classification

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License 5842 (NC) Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License 6278 (NC) Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Primary

Authorized official

Name Kai Jerrell
Title Ceo/Owner

Other identifiers

Identifier Type State Issuer
7411868 Medicaid NC -
7212056 Medicaid NC -

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.

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Frequently asked questions

Who is the authorized official for Jaesan PC?
NPPES lists Kai Jerrell (Ceo/Owner) as the authorized official for this organization.
What is the NPI number for Jaesan PC?
The NPI for Jaesan PC is 1003940933, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-27.