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

Individual provider Physician Assistant · NPI 1558759555

Jacob Lagomarcino, PA-C is a Physician Assistant in Clayton, North Carolina. Qualified in 2014, 12 years ago. Practices with Duke University Affiliated Physicians, Inc, a 449-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2014
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

935 Shotwell Rd Ste 108
Clayton, NC 27520-5597
Phone: (919) 550-0821
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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 0010-05433 (NC)

Record details

NPI number1558759555
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 30, 2014
Last updated in NPPESDecember 30, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Duke University Affiliated Physicians, Inc. — 449 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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