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

Individual provider Family Medicine Physician · NPI 1346242112

MS. Kelly Todd Jacobus, PA-C is a Physician Assistant in Lexington, North Carolina. Qualified in 2004, 22 years ago. Practices with Asheville Heart PA, a 19-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
22
Licensed in
NC
In the registry since
2005
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

102 W Medical Park Dr
Lexington, NC 27292-6773
Phone: (336) 249-3329
Fax: (336) 249-3795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 104039 (NC)

Record details

NPI number1346242112
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESFebruary 9, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Asheville Heart Pa — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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