JON R JACOBS
NPI 1093989006
Specialist in North Charleston, SC

Q: What is Jon R Jacobs's NPI number?

The NPI number for Jon R Jacobs is 1093989006. It was assigned to this organization in the NPPES registry on April 22, 2008.

Q: What is Jon R Jacobs's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jon R Jacobs was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 22, 2008

9213 UNIVERSITY BLVD STE D, NORTH CHARLESTON, SC 29406(843) 797-6564(843) 572-9165 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Jon R Jacobs NPPES

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

JON R JACOBS (NPI 1093989006) is a healthcare organization registered as a specialist in North Charleston, South Carolina and active in the NPI registry since April 2008. The organization lists Shannon Leigh Smith, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093989006

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameJON R JACOBS

Location Address9213 UNIVERSITY BLVD STE DNorth Charleston, SC 29406-9145

Mailing Address9213 University Blvd Ste DNorth Charleston, SC 29406-9145 · (843) 797-6564 · Fax (843) 572-9165

Phone(843) 797-6564

Fax(843) 572-9165

Organization SubpartNo

Authorized OfficialShannon Leigh SmithOffice Manager · (843) 797-6564

Enumeration DateApril 22, 2008

✔ NPI 1093989006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in SC · 199702336

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

9213 UNIVERSITY BLVD STE D, North Charleston, SC 29406

Open in Google Maps ↗

Other Identifiers 4

Other1568535953SC · Npi- Single Provider

Medicare UPINC61196SC

OtherC611963397SC · Medicare

Medicaid113004SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jon R Jacobs's NPI number?

The NPI number for Jon R Jacobs is 1093989006. It was assigned to this organization in the NPPES registry on April 22, 2008.

Where is Jon R Jacobs located?

Jon R Jacobs is located at 9213 University Blvd Ste D, North Charleston, SC 29406. The listed phone number is (843) 797-6564.

What is Jon R Jacobs's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jon R Jacobs was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.