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Export Provider Record NPI 1194137612
Douglas Landry JarvisM.D.
Active
NPI Number1194137612
NPI TypeNPI-1 Individual
SpecialtyOrthopaedic Surgery
Provider Details
NPI1194137612
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2014-06-02
Last Updated2020-10-26
Mailing AddressPo Box 60447
Charlotte, NC 28260-0447
United States
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Primary Practice Address12611 N Community House Rd Ste 100
Charlotte, NC 28277-3817
United States
Phone: (704) 316-3410
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No390200000X – Student in an Organized Health Care Education/Training Program--
Yes207X00000X – Orthopaedic SurgeryNC2020-02933
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About NPI 1194137612

Douglas Landry Jarvis M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1194137612. The primary specialty listed is Orthopaedic Surgery. The provider is located in Charlotte, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-06-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1194137612?

NPI 1194137612 belongs to Douglas Landry Jarvis M.D., a Orthopaedic Surgery in Charlotte, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1194137612 active?

The current status of NPI 1194137612 in the NPPES registry is Active. The record was last updated on 2020-10-26.

What specialty is NPI 1194137612?

NPI 1194137612 is classified under the taxonomy Orthopaedic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1194137612?

You can verify NPI 1194137612 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1194137612?

The primary practice address on file for NPI 1194137612 is 12611 N Community House Rd Ste 100, Charlotte, NC 28277-3817. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1194137612 issued?

NPI 1194137612 was first issued (enumerated) on 2014-06-02. The NPPES record was last updated on 2020-10-26.

Practice Location Map

Douglas Landry Jarvis is located at 12611 N Community House Rd Ste 100, Charlotte, NC. Use the map below to find directions or verify the practice location.

📍 12611 N Community House Rd Ste 100, Charlotte, NC 28277-3817  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Douglas Landry Jarvis. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1194137612. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Orthopaedic Surgery2020-02933NC
Data Verified from CMS NPPES Last synced: 2026-07-13 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162