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

Individual provider Physician Assistant · NPI 1184070740

Jacob Summerford, PA-C is a Physician Assistant in Cumming, Georgia. Qualified in 2015, 11 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
11
Licensed in
GA, SC
In the registry since
2016
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

1100 Northside Forsyth Dr Ste 250
Cumming, GA 30041-6012
Phone: (770) 667-4337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1298 Woodruff Rd, Greenville, SC 29607-5754 — (864) 263-4700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7958 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 6009 (SC)

Record details

NPI number1184070740
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 12, 2016
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cumming