Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alan Fowler Jacks, MD

Individual provider Surgery Physician · NPI 1992987713

Dr. Alan Fowler Jacks, MD is a General Surgery in Connelly Springs, North Carolina. Graduated from Louisiana State University School of Medicine in New Orleans in 1991, 35 years ago. Practices with Blue Ridge Healthcare Medical Group Inc, a 223-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
35
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
NC
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

845 Malcolm Blvd
Connelly Springs, NC 28612
Phone: (828) 580-3555
Fax: (828) 874-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 9601640 (NC)

Record details

NPI number1992987713
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 4, 2007
Last updated in NPPESMay 23, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1991 (35 years in practice)
Group practice Blue Ridge Healthcare Medical Group Inc — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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