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JACOB BOBBA PA
NPI 1053819946
Physician Assistant - Surgical in Charleston, SC

Active since January 25, 2018PECOS EnrolledAccepts Medicare Assignment
316 CALHOUN ST, CHARLESTON, SC 29401(843) 720-3602(843) 727-3602 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2023, Oct 31, 2023 (2 updates tracked since 2023).

About Jacob Bobba Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB BOBBA PA (NPI 1053819946) is an individual surgical provider in Charleston, South Carolina, licensed in South Carolina (5003) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, is affiliated with Roper Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053819946
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJACOB BOBBACredential: PA
Location Address316 CALHOUN STCharleston, SC 29401-1113
Mailing AddressPo Box 751649Charlotte, NC 28275-1649
Phone(843) 720-3602
Fax(843) 727-3602
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 25, 2018
Last NPPES UpdateNovember 6, 20232 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1053819946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in SC · 5003
316 CALHOUN ST, Charleston, SC 29401
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Bobba Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274897269
PECOS Enrollment IDI20231218003686
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN ANTON SUNG PA-C
Physician Assistant
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 720-8490
AMY LYNN CANINO PA-C
Physician Assistant
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 402-1638
KAREN L SPODAREK D.O.
Radiology (Diagnostic Radiology)
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 724-2154
JOHNNY PHILLIPS CAMPBELL MD
Radiology (Diagnostic Radiology)
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 724-2988
RONA S CUSHMAN NNP
Nurse Practitioner (Neonatal, Critical Care)
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 402-1638
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Internal Medicine
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 724-2450
MRS. ALISON MARIE BONDELL APRN
Nurse Practitioner (Acute Care)
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 724-2450
MRS. DEBORAH LYNN WALKER AGACNP-BC
Nurse Practitioner (Acute Care)
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 724-2450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Bobba's NPI number?

The NPI number for Jacob Bobba is 1053819946. It was assigned to this individual provider in the NPPES registry on January 25, 2018.

Where is Jacob Bobba located?

Jacob Bobba practices at 316 Calhoun St, Charleston, SC 29401. The listed phone number is (843) 720-3602.

What is Jacob Bobba's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jacob Bobba enrolled in Medicare?

Yes. Jacob Bobba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacob Bobba affiliated with any hospitals?

According to CMS data, Jacob Bobba is affiliated with Roper Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Bobba was last updated on November 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.