Active NPI
Jacob Lang, PA-C
- Physician Assistant
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9121984
- Practice address
- 600 E Dixie Ave
Leesburg, FL 34748-5925 - Phone
- (352) 559-5051
- NPI assigned
- Apr 1, 2020
- Last updated
- Oct 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9121984 | FL | Primary |
| Surgical Physician Assistant | 363AS0400X | 4561 | SC |
Addresses
Primary practice location
600 E Dixie Ave
Leesburg, FL 34748-5925
Mailing address
257 McDowell St
Asheville, NC 28803-2606
Phone (828) 258-1121
Other practice location 1
1506 Spring St
Greenwood, SC 29646-4071
Phone (864) 725-7900
Other practice location 2
257 McDowell St
Asheville, NC 28803-2606
Phone (828) 258-1121
Other practice location 3
3437 Caroline St
Saint Louis, MO 63104-1111
Phone (309) 303-8048
Other practice location 4
2728 Sunset Blvd Ste 105
West Columbia, SC 29169-4839
Phone (803) 936-7095
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlang196902@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111
1506 Spring St
Greenwood, SC 29646-4071
Phone (864) 725-7900
160 Academy Ave
Greenwood, SC 29646-3808
Phone (864) 223-8090
2728 Sunset Blvd
Suite 105
West Columbia, SC 29169-4839
Phone (803) 936-7045
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Self Medical Group | Physician Assistant | Past | Accepting new patients |
| Lexington Health Inc | Past | Accepting new patients | |
| Self Medical Group | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 6764
Chicago, IL 60675
1506 Spring St
Greenwood, SC 29646
Phone (864) 227-3117
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
2728 Sunset Blvd
Ste 105
West Columbia, SC 29169
Phone (803) 936-7045
Interoperability endpoints
- jlang196902@direct.lexmed.com
- jlang538570@selfregional.direct-ci.net
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lexington Orthopaedic and Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
dba LMC Heart and Vascular Center
- Cardiovascular Disease Physician
- West Columbia, SC
- NPI 1083211312
-
dba Lexington Internal Medicine
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
- Family Medicine Physician
- Saluda, SC
- NPI 1659815652
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
dba Lexington Neurology
- Neurological Surgery Physician
- West Columbia, SC
- NPI 1720685159
-
- Physical Medicine & Rehabilitation Physician
- Greenwood, SC
- NPI 1134442890
Physician Assistant
-
dba Advanced Gastroenterology
- Gastroenterology Physician
- Greenwood, SC
- NPI 1841047560
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
-
dba Pain Management Greenwood
- Pain Medicine (Anesthesiology) Physician
- Greenwood, SC
- NPI 1013867498
Hospital
-
dba SRH - Inpatient Services
- General Acute Care Hospital
- Greenwood, SC
- NPI 1023046612
-
dba Home Health Services of SRH
- Home Health Agency
- Greenwood, SC
- NPI 1407860778
-
dba SRH - Outpatient Services
- General Acute Care Hospital
- Greenwood, SC
- NPI 1407887003
-
dba Pain Management Laurens
- Pain Medicine (Anesthesiology) Physician
- Clinton, SC
- NPI 1720938103
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791936000000",
"number": "1710515952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 MCDOWELL ST",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032606",
"telephone_number": "828-258-1121",
"fax_number": "828-252-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E DIXIE AVE",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485925",
"telephone_number": "352-559-5051"
}
],
"practiceLocations": [
{
"address_1": "1506 Spring St",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "296464071",
"country_code": "US",
"telephone_number": "864-725-7900",
"fax_number": "864-725-7910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "257 McDowell St",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288032606",
"country_code": "US",
"telephone_number": "828-258-1121",
"fax_number": "828-252-6114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3437 Caroline St",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041111",
"country_code": "US",
"telephone_number": "309-303-8048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2728 Sunset Blvd Ste 105",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291694839",
"country_code": "US",
"telephone_number": "803-936-7095",
"fax_number": "803-936-7908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANG",
"first_name": "JACOB",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-01",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9121984",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "4561",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlang196902@direct.lexmed.com",
"affiliation": "N",
"address_1": "2728 Sunset Blvd Ste 105",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694839",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.