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

Mr. Jacob Matthews

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063845444

Mr. Jacob Matthews is an Anesthesiology in Charlotte, North Carolina. Graduated from Mercer University School of Medicine in 2017, 9 years ago. Practices with Providence Anesthesiology Associates PA, a 220-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
9
Trained at
Mercer University School of Medicine
Licensed in
NC, SC
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Charlotte, NC

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 2536 Lengers Way, Fort Mill, SC 29707-7126 — (704) 749-5800

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 2020-04029 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Anesthesiology Physician Taxonomy 207L00000X · Licence 90685 (SC)

Record details

NPI number1063845444
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2013
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Providence Anesthesiology Associates Pa — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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