Tisha Chavis Jacobs, LCSWA is a
Clinic/center - Student Health based in Raeford, North Carolina. Tisha Chavis Jacobs is licensed to practice in * (Not Available) (license number ) and her current practice location is
7489 Rockfish Rd, Raeford, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 584-6739.
NPI number for Tisha Chavis Jacobs is 1164264719 and her current mailing address is 236 Katie Buie Rd, Red Springs, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164264719.
Healthcare Provider's Profile
| Full Name | Tisha Chavis Jacobs |
|---|
| Gender | Female |
|---|
| Speciality | Clinic/center - Student Health |
|---|
| Location | 7489 Rockfish Rd, Raeford, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164264719
- Provider Enumeration Date: 06/12/2024
- Last Update Date: 05/21/2026
Medical Identifiers
Medical identifiers for Tisha Chavis Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164264719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | P022526 (North Carolina) | Secondary |
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tisha Chavis Jacobs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tisha Chavis Jacobs, LCSWA 236 Katie Buie Rd, Red Springs, NC 28377-4600 Ph: (706) 304-8870 | Tisha Chavis Jacobs, LCSWA 7489 Rockfish Rd, Raeford, NC 28376-6131 Ph: (910) 584-6739 |
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