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

Jacob Fuqua, PA-C

Individual provider Physician Assistant · NPI 1366335960

Jacob Fuqua, PA-C is a Physician Assistant in Oak Ridge, Tennessee. Qualified in 2024, 2 years ago. Practices with Tennessee Orthopaedic Alliance PA, a 358-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2025
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

961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832
Phone: (865) 375-8910
Fax: (865) 483-3807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6571 (TN)

Record details

NPI number1366335960
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 2, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tennessee Orthopaedic Alliance Pa — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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