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KAYLA JACOBS
NPI 1205476165
Physician Assistant in Pembroke, NC

Active since January 08, 2020
812 CANDY PARK RD, PEMBROKE, NC 28372(910) 521-0201 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2020, Mar 23, 2020, Mar 5, 2020 and 1 more (4 updates tracked since 2020).

About Kayla Jacobs NPPES

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

KAYLA JACOBS (NPI 1205476165) is an individual physician assistant in Pembroke, North Carolina, licensed in North Carolina (0010-09695) and active in the NPI registry since January 2020. She maintains a secondary practice location in Lumberton.

NPPES Registry Identity

NPI1205476165
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAYLA JACOBS
Location Address812 CANDY PARK RDPembroke, NC 28372-9120
Mailing Address1153 Red Hill RdMaxton, NC 28364-8085
Phone(910) 521-0201
Sole ProprietorNo
Enumeration DateJanuary 8, 2020
Last NPPES UpdateApril 2, 20204 updates tracked since enumeration
NPPES CertifiedApril 2, 2020
✔ NPI 1205476165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-09695
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0010-09695 (NC)
812 CANDY PARK RD, Pembroke, NC 28372
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Secondary Practice Location 1

Location 1400 Liberty Hill RdLumberton, NC 28358-2446 · Phone (910) 739-3318

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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.

INTEGRATED PAIN & INJURY CENTER, PLLC
General Practice
812 CANDY PARK RD, SUITE 6103
PEMBROKE, NC 28372
Robeson County (910) 521-3093
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Cardiovascular Disease)
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 671-6619
DR. JOHN ASHLEY DEESE DC
Chiropractor
812 CANDY PARK RD, SUITE 6103
PEMBROKE, NC 28372
Robeson County (910) 521-3093
HANNA ELIZABETH BULLARD PA-C
Physician Assistant
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 521-0201
MS. TRISHA LYNN CARTER LCSW
Social Worker (Clinical)
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 521-0201
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Hematology & Oncology)
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 671-5730
GINGER NICHOLE LOCKLEAR MD
Pediatrics
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 521-0201
MR. DAVID A HURLEY RT(R)
Radiologic Technologist (Radiography)
812 CANDY PARK RD, SUITE 7101-C
PEMBROKE, NC 28372
Robeson County (910) 522-0470

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 Kayla Jacobs's NPI number?

The NPI number for Kayla Jacobs is 1205476165. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Kayla Jacobs located?

Kayla Jacobs practices at 812 Candy Park Rd, Pembroke, NC 28372. The listed phone number is (910) 521-0201.

What is Kayla Jacobs's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Kayla Jacobs accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kayla Jacobs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kayla Jacobs was last updated on April 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.