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

Jacob Dakota McKillop, PA

Individual provider Physician Assistant · NPI 1609464627

Jacob Dakota McKillop, PA is a Physician Assistant in Hampton, Virginia. Qualified in 2020, 6 years ago. Practices with Sentara Medical Group, a 1,403-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2021
Specialties on file
2
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

4000 Coliseum Dr Ste 445
Hampton, VA 23666-5981
Phone: (757) 827-2127
Fax: (757) 827-2255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 830 Washington St, Watertown, NY 13601-4034 — (315) 785-4000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110007560 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1609464627
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 5, 2021
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sentara Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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