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

Jacob Shanks, PA-C

Individual provider Physician Assistant · NPI 1932693009

Jacob Shanks, PA-C is a Physician Assistant in Fort Bragg, North Carolina. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2817 Rock Merritt Ave Womack Army Medical Ctr
Fort Bragg, NC 28310-0001
Phone: (910) 907-8922
Fax: (910) 907-8922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1932693009
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 21, 2018
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-0001

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