Kelly Todd Jacobus, PA-C
Family Medicine Physician · Lexington, NC
Kelly Todd Jacobus, PA-C is a family medicine physician with a practice address in Lexington, North Carolina, and NPI 1346242112, issued on Aug 11, 2005. Check the license (North Carolina 104039, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.
- Name
- Kelly Todd Jacobus
- Credential
- PA-C
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 104039 NC
Self-reported in NPPES; status is on the state search - Practice location
- 102 W Medical Park Dr, Lexington, NC 27292
- Phone
- (336) 249-3329
- Enumerated
- Aug 11, 2005
- Record last updated
- Feb 9, 2015 (not updated in 11 years: call before relying on the address or phone)
- Fax
- (336) 249-3795
- Medicare enrollment
- Enrolled (PECOS I20040913000155); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 4,953 in North Carolina → Look up another NPI →
Also registered at 102 W Medical Park Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kristina Gailey, PA-CPhysician Assistant1538054960
- Paul Meyer, MDFamily Medicine Physician1235131095
- Sundararajan Sundararajan, MDFamily Medicine Physician1093707291
- Benjamin Wilson, M.D.Family Medicine Physician1235154501
Verify Kelly Todd Jacobus in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNorth Carolina Medical Board
Search for license 104039Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Asheville Heart PAAsheville, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly Todd Jacobus among 4,953 family medicine physician records in North Carolina
Kelly Todd Jacobus, PA-C is one of 4,953 family medicine physician records with a practice address in North Carolina. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 88% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated2004 · median 2006 among the 3,104 with a school on file
- Record last updated2015 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
16 family medicine physician records list a practice address in Lexington
They are 16 of the 659 NPPES records with a practice address in Lexington, and 4,953 family medicine physician records in North Carolina.
All 4,953 in North Carolina → Every provider in Lexington → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Michael Brown, M.D.Lexington, NC 272921023053295
- Deborah Cabral, M.D.Lexington, NC 272921982932455
- Jonathan Hinson, M.D.Lexington, NC 272921629045380
- Paul Meyer, MDLexington, NC 272921235131095
- Kimberly Ragsdale, MDLexington, NC 272921326125840
- Michaela Renich, MDLexington, NC 272921841229127
- Sudip Roy, M.D.Lexington, NC 272921215902713
- Meryl Snow, D.O.Lexington, NC 272921578723656
Common questions
What is Kelly Todd Jacobus, PA-C's NPI number?
Kelly Todd Jacobus, PA-C's National Provider Identifier (NPI) is 1346242112, issued on Aug 11, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Todd Jacobus, PA-C located?
The NPPES record lists a practice address at 102 W Medical Park Dr, Lexington, NC, 27292. Phone: (336) 249-3329. Providers update this record themselves, so call before visiting.
How can I verify Kelly Todd Jacobus, PA-C's license?
NPPES lists North Carolina license number 104039, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.