Jakob R Benne, PA-C
Individual provider Active NPI Physician Assistant · Biloxi, MS
NPI 1336064898 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1336064898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1720A Medical Park Dr Ste 150
Biloxi, MS 39532-2135 - Phone
- (228) 230-2663
- NPI assigned
- Aug 12, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1720A Medical Park Dr Ste 150
Biloxi, MS 39532-2135
Mailing address
6300 E Lake Blvd Ste 301
Vancleave, MS 39565-6771
Phone (228) 230-2663
Other practice location 1
3615 Hospital St
Pascagoula, MS 39581-4112
Phone (228) 230-2663
Other providers in Biloxi, MS
- Mark Belknap
- Linda Crippen Bell
- Ashtyn Marie Bellais
- Benchmark Physical Therapy of Mississippi LLC
- Kimberly R Benigno
- Ginger Bennett
- Thomas Bennington II
- Leonard Leon Bentz
- Benzer Ms 1 LLC
- Danielle Kusserow Bersabe
All providers in Biloxi, MS · Physician Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.