MR. JIMMY PROSS NPI 1467371989

NPI Information

  • NPI: 1467371989
  • Provider Name: MR. JIMMY PROSS
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 11 UNION ST S STE LL224
    CONCORD, NC
    ZIP 28025
  • Phone: (980) 357-3588

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NPI Details

MR. Jimmy Pross is a peer specialist in Concord, NC. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MR. Jimmy Pross NPI is 1467371989. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11 UNION ST S STE LL224
CONCORD, NC
ZIP 28025-059
Phone: (980) 357-3588
Fax: (972) 695-4875

The enumeration date for this NPI number is 7/10/2026 and was last updated on 7/10/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistNORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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