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

Dr. Charles West Jacocks IV, MD

Individual provider Cardiovascular Disease Physician · NPI 1720051105

Dr. Charles West Jacocks IV, MD is a Cardiovascular Disease Physician in Fayetteville, North Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2300 Ramsey St Rm 304-A
Fayetteville, NC 28301-3856
Phone: (910) 488-2120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 14114 (SC)

Record details

NPI number1720051105
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 8, 2006
Last updated in NPPESJuly 31, 2019

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