JACOB A MCKENNA
NPI 1063107167
Emergency Medicine in Columbia, SC

Active since April 06, 2023PECOS EnrolledAccepts Medicare Assignment
14 RICHLAND MEDICAL PARK DR STE 350, COLUMBIA, SC 29203(803) 434-3790 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2023, Apr 6, 2023 (2 updates tracked since 2023).

About Jacob A Mckenna NPPES

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

JACOB A MCKENNA (NPI 1063107167) is an individual emergency medicine provider in Columbia, South Carolina, licensed in South Carolina (89728) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Tuomey Hospital, and maintains a secondary practice location in Greenwood.

NPPES Registry Identity

NPI1063107167
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACOB A MCKENNA
Location Address14 RICHLAND MEDICAL PARK DR STE 350Columbia, SC 29203-6896
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697
Sole ProprietorYes
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2023
Enumeration DateApril 6, 2023
Last NPPES UpdateOctober 13, 20252 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
NPI 1063107167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in SC · 89728
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

14 RICHLAND MEDICAL PARK DR STE 350, Columbia, SC 29203

Secondary Practice Location 1

Location 11325 Spring StGreenwood, SC 29646-3860 · Phone (864) 725-4780

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 A Mckenna 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 ID42671778
PECOS Enrollment IDI20250807003135
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.

Hospital Affiliations CMS Care Compare

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

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Emergency Medicine
14 RICHLAND MEDICAL PARK DR STE 350
COLUMBIA, SC 29203
Physician Assistant
14 RICHLAND MEDICAL PARK DR STE 350
COLUMBIA, SC 29203
Emergency Medicine
14 RICHLAND MEDICAL PARK DR STE 350
COLUMBIA, SC 29203
Physician Assistant
14 RICHLAND MEDICAL PARK DR STE 350
COLUMBIA, SC 29203
Physician Assistant
14 RICHLAND MEDICAL PARK DR STE 350
COLUMBIA, SC 29203
Emergency Medicine
14 RICHLAND MEDICAL PARK DR STE 350
COLUMBIA, SC 29203
Emergency Medicine
14 RICHLAND MEDICAL PARK DR STE 350
COLUMBIA, SC 29203
Emergency Medicine
14 RICHLAND MEDICAL PARK DR STE 350
COLUMBIA, SC 29203

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 Mckenna's NPI number?

The NPI number for Jacob Mckenna is 1063107167. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Jacob Mckenna located?

Jacob Mckenna practices at 14 Richland Medical Park Dr Ste 350, Columbia, SC 29203. The listed phone number is (803) 434-3790.

What is Jacob Mckenna's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacob Mckenna enrolled in Medicare?

Yes. Jacob Mckenna 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 Mckenna affiliated with any hospitals?

According to CMS data, Jacob Mckenna is affiliated with Prisma Health Tuomey Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Mckenna was last updated on October 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.