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

Jacob Woodward, PA-C

Individual provider Physician Assistant · NPI 1295363570

Jacob Woodward, PA-C is a Physician Assistant in Rochester, New York. Qualified in 2020, 6 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
6
Licensed in
NC, NY
In the registry since
2020
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

300 Crittenden Blvd
Rochester, NY 14642-9719
Phone: (585) 276-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4420 Lake Boone Trl, Raleigh, NC 27607-7505 — (919) 784-3100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 025784 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 0010-14937 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 25784 (NY)

Record details

NPI number1295363570
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

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 North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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