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

Jacob William McDougall, PA-C

Individual provider Physician Assistant · NPI 1801331467

Jacob William McDougall, PA-C is a Physician Assistant in Knightdale, North Carolina. Works from 3 locations. Licensed in North Carolina and Utah.

Licensed in
NC, UT
In the registry since
2017
Specialties on file
3
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

162 Legacy Oaks Dr
Knightdale, NC 27545-6556
Phone: (919) 373-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9633 Bitter Melon Dr, Angier, NC 27501-5917 — (919) 639-8900
  • 817 E Gannon Ave, Zebulon, NC 27597-9350 — (919) 550-0821

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12689705-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 0010-06933 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 12689705-8906 (UT)

Record details

NPI number1801331467
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 5, 2017
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022

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