Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly K Jacobs, AUD

Individual provider Audiologist · NPI 1215607585

Carly K Jacobs, AUD is a Qualified Audiologist in Virginia Beach, Virginia. Qualified in 2021, 5 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
5
Licensed in
TN, VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

441 S Independence Blvd Ste 1
Virginia Beach, VA 23452-1126
Phone: (757) 304-8445
Fax: (757) 568-7634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 2201001910 (VA)
Audiologist Taxonomy 231H00000X · Licence 1968 (TN)

Record details

NPI number1215607585
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorNo
NPI enumeratedSeptember 17, 2021
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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