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

Jacob Bobba, PA

Individual provider Surgical Physician Assistant · NPI 1053819946

Jacob Bobba, PA is a Physician Assistant in Charleston, South Carolina. Qualified in 2017, 9 years ago. Practices with Roper Saint Francis Physicians Network, a 532-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
9
Licensed in
SC
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

316 Calhoun St
Charleston, SC 29401-1113
Phone: (843) 720-3602
Fax: (843) 727-3602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5003 (SC)

Record details

NPI number1053819946
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 25, 2018
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Roper Saint Francis Physicians Network — 532 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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