Jon R Jacobs
Jon R Jacobs is a healthcare organization registered as Specialist in North Charleston, SC, holding Type 2 (organization) NPI 1093989006 since 2008. The authorized official on file is Shannon Smith, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093989006 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jon R Jacobs |
| Practice address | 9213 UNIVERSITY BLVD STE D, North Charleston, SC, 29406 |
| Phone | 8437976564 |
| Fax | 8435729165 |
| Enumeration date | 2008-04-22 |
| Last updated in NPPES | 2008-04-22 |
Authorized official
| Name | Shannon Smith |
|---|---|
| Title | Office Manager |
| Phone | 8437976564 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | 199702336 | SC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C611963397 | Other | SC | MEDICARE |
| 1568535953 | Other | SC | NPI- SINGLE PROVIDER |
| 113004 | Medicaid | SC | — |
Copy-ready billing details
Provider: Jon R Jacobs NPI: 1093989006 Taxonomy: 174400000X (Specialist) Address: 9213 UNIVERSITY BLVD STE D, North Charleston, SC, 29406
Verify this record
Cross-check NPI 1093989006 against the authoritative CMS record: view Jon R Jacobs on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Jon R Jacobs?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-22.