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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jon R Jacobs

Specialist in North Charleston, SC · enumerated 2008 · authorized official Shannon Smith, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093989006

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Registry record

Entity type Organization (Type 2)
Legal business name Jon R Jacobs
Practice address 9213 University Blvd Ste D, North Charleston, SC, 29406
Fax (843) 572-9165
Enumeration date Apr 22, 2008
Last updated in NPPES Apr 22, 2008

Taxonomy & classification

174400000X Specialist Other Service Providers · License 199702336 (SC) Primary

Authorized official

Name Shannon Smith
Title Office Manager

Other identifiers

Identifier Type State Issuer
C611963397 Other SC MEDICARE
1568535953 Other SC NPI- SINGLE PROVIDER
113004 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jon R Jacobs?
The NPI for Jon R Jacobs is 1093989006, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Jon R Jacobs?
NPPES lists Shannon Smith (Office Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-22.