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

Christy Jacob

Individual provider Physician Assistant · NPI 1104893502

Christy Jacob is a Physician Assistant in Troy, Michigan. Qualified in 2000, 26 years ago. Practices with Henry Ford Health Rochester Hospital, a 103-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
26
Licensed in
MI
In the registry since
2006
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Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601003502 (MI)

Record details

NPI number1104893502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2006
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Henry Ford Health Rochester Hospital — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Troy