Gregory D Jacobs, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1591 Issued in NE

Practice address

3100 23Rd St Ste T
Columbus, NE 68601-3161

Phone

(402) 564-2816

Fax

(402) 564-1312

NPI assigned

Nov 5, 2007

Last updated

Aug 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbus Urgent Care LLCGroup PAC ID 1759578180, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Columbus Urgent Care LLC

  • Urgent Care Clinic/Center
  • Columbus, NE
  • NPI 1760799910
  Medicare reassignment Care Compare group
• Columbus Community Hospital Inc

  dba CCH Professional Services

  • Emergency Medicine Physician
  • Columbus, NE
  • NPI 1427152131

  Physician Assistant

  Medicare reassignment NPD
• Columbus Medical Center, P.C.

  • Family Medicine Physician
  • Columbus, NE
  • NPI 1548269368
  Medicare reassignment
• Columbus Community Hospital Inc

  dba Columbus Dermatology Clinic

  • Dermatology Physician
  • Columbus, NE
  • NPI 1881370476
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbus Community Hospital Inc

  dba Columbus Community Hospital

  • General Acute Care Hospital
  • Columbus, NE
  • NPI 1760589295
  Care Compare affiliation

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1730369018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 28TH AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686014944",
            "telephone_number": "903-297-1733",
            "fax_number": "903-295-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 23RD ST STE T",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686013161",
            "telephone_number": "402-564-2816",
            "fax_number": "402-564-1312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1454 28TH AVE",
            "address_purpose": "LOCATION",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686014944",
            "country_code": "US",
            "telephone_number": "903-297-1733",
            "fax_number": "903-295-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "GREGORY",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05449",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Barbara Ita
• Patricia Izaguirre
• Jackson Therapy & Consulting LLC
• Danielle Renae Jackson
• Emily Shay Jacobs
• Sarah Jacobs
• Joshua David Jaeger, PHARMD
• Jill Marie Jakub, OTR/L
• Andy Jakubowski
• Jennifer Lea Jakubowski

• Physician Assistant in Columbus, NE
• Providers in Columbus, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.
• 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.

Verify at the official NPI Registry.