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

Mr. Jacob Joel Clairmont, PA

Individual provider Physician Assistant · NPI 1710429303

Mr. Jacob Joel Clairmont, PA is a Physician Assistant in Fuquay Varina, North Carolina. Qualified in 2016, 10 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and North Carolina.

Years since qualifying
10
Licensed in
MN, NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1617 N Main St Ste 101
Fuquay Varina, NC 27526-9021
Phone: (984) 215-6595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 205 Wabasha St S, Saint Paul, MN 55107-1805 — (952) 853-8800
  • 923 W 3rd St Ste C, Pembroke, NC 28372-9629 — (910) 521-0564

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12145 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 12218 (MN)

Record details

NPI number1710429303
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 14, 2016
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Fuquay Varina