JACOB MCCLENDON DO
NPI 1144724105
Student in an Organized Health Care Education/Training Program in Gainesville, FL
About Jacob Mcclendon Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB MCCLENDON DO (NPI 1144724105) is an individual student in an organized health care education/training program in Gainesville, Florida, licensed in Florida (OS16271) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and maintains a secondary practice location in Hurlburt Field.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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 Mcclendon Do 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent's Riverside
Acute Care Hospitals · Jacksonville, FLOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAINESVILLE, FL 32605
GAINESVILLE, FL 32605
GAINESVILLE, FL 32605
GAINESVILLE, FL 32605
GAINESVILLE, FL 32605
GAINESVILLE, FL 32605
GAINESVILLE, FL 32605
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 Mcclendon's NPI number?
The NPI number for Jacob Mcclendon is 1144724105. It was assigned to this individual provider in the NPPES registry on March 22, 2018.
Where is Jacob Mcclendon located?
Jacob Mcclendon practices at 1147 NW 64th Ter, Gainesville, FL 32605. The listed phone number is (352) 333-5168.
What is Jacob Mcclendon's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacob Mcclendon enrolled in Medicare?
Yes. Jacob Mcclendon 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 Mcclendon affiliated with any hospitals?
According to CMS data, Jacob Mcclendon is affiliated with Ascension St Vincent's Riverside.
When was this NPI record last updated?
The NPPES record for Jacob Mcclendon was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Jacob Mcclendon, DO · NPI 1144724105
Student in an Organized Health Care Education/Training Program provider in Gainesville, Florida. Individual provider, active in the CMS NPPES registry since March 22, 2018.
## Identity
- **NPI:** 1144724105 (Entity type: Individual)
- **Enumerated:** March 22, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** OS16271 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1147 NW 64TH TER, Gainesville, FL 32605-4218
- **Phone:** (352) 333-5168
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Lincoln Memorial University Medical Department, class of 2018
## Record status
- **NPPES last updated:** February 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1144724105) · Data from the CMS NPPES public registry.