Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB GIBSON
NPI 1508701921
Physician Assistant in Columbia, SC

Q: What is Jacob Gibson's NPI number?

The NPI number for Jacob Gibson is 1508701921. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Q: What is Jacob Gibson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Gibson was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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, 2026PECOS Enrolled

8 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203(803) 256-6511(803) 376-5885 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 20, 2026, Apr 22, 2026 (2 updates tracked since 2026).

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About Jacob Gibson NPPES

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

JACOB GIBSON (NPI 1508701921) is an individual physician assistant in Columbia, South Carolina, licensed in South Carolina (6462) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1508701921

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJACOB GIBSON

Location Address8 RICHLAND MEDICAL PARK DR STE 300Columbia, SC 29203-8008

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842

Phone(803) 256-6511

Fax(803) 376-5885

Sole ProprietorNo

Enumeration DateApril 22, 2026

Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration

NPPES CertifiedAugust 20, 2026

✔ NPI 1508701921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SC · 6462

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.

8 RICHLAND MEDICAL PARK DR STE 300, Columbia, SC 29203

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Secondary Practice Location 1

Location 18 Richland Medical Park Dr Ste 100Columbia, SC 29203-8006 · Phone (803) 434-3800

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Gibson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

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 16

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

SUMMER ALDRUGH M.D.

Internal Medicine (Interventional Cardiology)