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

Jessica Provo, MD

Individual provider Family Medicine Physician · NPI 1699121368

Jessica Provo, MD is a Family Practice in Sandwich, Massachusetts. Qualified in 2015, 11 years ago. Practices with Community Health Center of Cape Cod, Inc, a 41-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2016
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

90 Route 6A Unit 5A
Sandwich, MA 02563-5301
Phone: (508) 477-7090
Show map & directions

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

Additional practice locations (5)

  • 2000 Brabham Ave, Jacksonville, NC 28546-0201 — (980) 376-3030
  • 1333 S Dickinson Dr, Leland, NC 28451-6430 — (910) 332-0241
  • 1960 S 16th St, Wilmington, NC 28401-6676 — (910) 343-9991
  • 7420 Market St, Wilmington, NC 28411-9453 — (910) 686-2525
  • 5145 S College Rd, Wilmington, NC 28412-2207 — (910) 792-1144

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2019-00724 (NC)

Record details

NPI number1699121368
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2016
Last updated in NPPESApril 22, 2025
Certification dateApril 7, 2025
Mailing addressPo Box 19305, Charlotte, NC 28219-9305

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Community Health Center Of Cape Cod, Inc. — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sandwich