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

Dr. Jacob Kozacki, DO

Individual provider Family Medicine Physician · NPI 1396205878

Dr. Jacob Kozacki, DO is a Family Practice in Florence, South Carolina. Graduated from Virginia Commonwealth University, School of Medicine in 2019, 7 years ago. Practices with MUSC Community Physicians, a 1,339-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
SC
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1594 Freedom Blvd Ste 202
Florence, SC 29505-6046
Phone: (843) 664-9696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 82166 (SC)

Record details

NPI number1396205878
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Musc Community Physicians — 1339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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