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

Jacob B Olson

Individual provider Family Medicine Physician · NPI 1922582873

Jacob B Olson is a Physician Assistant in Cookeville, Tennessee. Qualified in 2018, 8 years ago. Practices with Campbell Clinic, PC, a 225-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2018
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Practice location Address checks out

105 S Willow Ave
Cookeville, TN 38501-4667
Phone: (931) 526-9518
Fax: (931) 372-0087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 133 Churchill Dr Ste A, Sparta, TN 38583-1500 — (931) 836-3262

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence PA03726 (TN)

Record details

NPI number1922582873
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 17, 2018
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Campbell Clinic, Pc — 225 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Cookeville