Anna Victoria Jacobs, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-13543 Issued in NC

Practice address

2018 New Garden Rd Ste C
Greensboro, NC 27410-2486

Phone

(336) 443-9300

NPI assigned

Feb 12, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16818/brand/1/csg/1/fhir/r4
• Direct secure messaging: anna.victoria.jacobs.1@16818.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luxe Aesthetics PLLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Cary, NC
  • NPI 1184375156
  Medicare reassignment
• Oculofacial Plastic Surgery Consultants PA

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Cary, NC
  • NPI 1346535283
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1497519227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 NW CARY PKWY STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138436",
            "telephone_number": "919-443-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 NEW GARDEN RD STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102486",
            "telephone_number": "336-443-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ANNA",
        "middle_name": "VICTORIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Jackson, FNP-BC
• Miya Jackson
• Patricia Katherine Jackson, LCMHC, NCC
• Vera Mae Jackson
• Sera L Jacob, MD
• Bret Charles Jacobs, D.O.
• Brianna Kaitlin Jacobs
• Caitlin Megan Jacobs, FNP-C
• Daniel Patrick Jacobs, MD
• Kristen Taylor Jacobsen, OD

• Physician Assistant in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.