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

Individual provider Physician Assistant · NPI 1710515952

Jacob Lang, PA-C is a Physician Assistant in Greenwood, South Carolina. Qualified in 2020, 6 years ago. Practices with Self Medical Group, a 396-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2020
Specialties on file
2
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

1506 Spring St
Greenwood, SC 29646-4071
Phone: (864) 725-7900
Fax: (864) 725-7910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3437 Caroline St, Saint Louis, MO 63104-1111 — (309) 303-8048
  • 257 McDowell St, Asheville, NC 28803-2606 — (828) 258-1121
  • 2728 Sunset Blvd Ste 105, West Columbia, SC 29169-4839 — (803) 936-7095

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4561 (SC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1710515952
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

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 Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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