Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Bayley Sholl, PA-C

Individual provider Physician Assistant · NPI 1629814348

Jacob Bayley Sholl, PA-C is a Physician Assistant in Springfield, Illinois. Works from 3 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

701 N 1st St
Springfield, IL 62781-0001
Phone: (217) 788-3030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2300 N Edward St, Decatur, IL 62526-4163 — (217) 876-8121
  • 200 Stahlhut Dr, Lincoln, IL 62656-5066 — (217) 732-2161

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IL)

Record details

NPI number1629814348
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 2, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

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