JACOB WILLIAM MCDOUGALL PA-C
NPI 1801331467
Physician Assistant in Knightdale, NC

Q: What is Jacob Mcdougall's NPI number?

The NPI number for Jacob Mcdougall is 1801331467. It was assigned to this individual provider in the NPPES registry on January 5, 2017.

Q: What is Jacob Mcdougall'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 Mcdougall was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 05, 2017PECOS Enrolled

162 LEGACY OAKS DR, KNIGHTDALE, NC 27545(919) 373-1800 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2022, Oct 13, 2022, Aug 11, 2022 and 2 more (5 updates tracked since 2017).

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About Jacob William Mcdougall Pa-c NPPES

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

JACOB WILLIAM MCDOUGALL PA-C (NPI 1801331467) is an individual physician assistant in Knightdale, North Carolina, licensed in Utah (12689705-1206) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801331467

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJACOB WILLIAM MCDOUGALLCredential: PA-C

Location Address162 LEGACY OAKS DRKnightdale, NC 27545-6556

Mailing Address817 E Gannon Ave, Suite #104Zebulon, NC 27597-9309 · (919) 375-1975 · Fax (919) 269-0240

Phone(919) 373-1800

Sole ProprietorNo

Enumeration DateJanuary 5, 2017

Last NPPES UpdateOctober 26, 20225 updates tracked since enumeration

NPPES CertifiedOctober 26, 2022

✔ NPI 1801331467 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

Licenses✔ Licensed in UT · 12689705-1206✔ Licensed in NC · 0010-06933

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 · SurgicalTaxonomy 363AS0400X · License 12689705-8906 (UT)

162 LEGACY OAKS DR, Knightdale, NC 27545

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Secondary Practice Locations 2

Location 1817 E Gannon Ave, FastMedZebulon, NC 27597-9350 · Phone (919) 550-0821

Location 29633 Bitter Melon DrAngier, NC 27501-5917 · Phone (919) 639-8900

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 William Mcdougall Pa-c 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

31 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27545 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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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.

LAURIE KING ATC, LAT

Specialist/Technologist (Athletic Trainer)