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Alan F Jacks, MD PA

Surgery Physician in Rutherford College, NC · enumerated 2005 · authorized official Alan Jacks, President.

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

National Provider Identifier

1669471777

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Registry record

Entity type Organization (Type 2)
Legal business name Alan F Jacks, MD PA
Practice address 845 Malcolm Blvd, Rutherford College, NC, 28671
Phone (828) 874-0555
Fax (828) 874-2111
Enumeration date Jul 20, 2005
Last updated in NPPES Sep 8, 2011

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 96-01640 (NC) Primary

Authorized official

Name Alan Jacks
Title President
Phone (828) 874-0555

Other identifiers

Identifier Type State Issuer
1013E Other NC BCBS
5909135 Medicaid NC -
891013E Medicaid NC -
96-01640 Other NC NC LICENSE

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 Alan F Jacks, MD PA?
NPPES lists Alan Jacks (President) as the authorized official for this organization.
What is the NPI number for Alan F Jacks, MD PA?
The NPI for Alan F Jacks, MD PA is 1669471777, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-08.