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

Jacob Hawkins, PA-C, ATC

Individual provider Athletic Trainer · NPI 1508321092

Jacob Hawkins, PA-C, ATC is a Physician Assistant in Chesterfield, Missouri. Qualified in 2024, 2 years ago. Practices with St Lukes Orthopedics Woods Mill LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2019
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

224 S Woods Mill Rd # 330
Chesterfield, MO 63017-3513
Phone: (314) 576-7013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Athletic Trainer Taxonomy 2255A2300X
Athletic Trainer Taxonomy 2255A2300X · Licence 2020026175 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508321092
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedFebruary 8, 2019
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 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 St Lukes Orthopedics Woods Mill Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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