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DR. DWAYNE AUBREY JACOBUS D.P.M. NPI 1295726172


NPI Information

NPI: 1295726172
Provider Name: DR. DWAYNE AUBREY JACOBUS, D.P.M.
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
3800 N MAIN ST STE B
COLUMBIA, SC
ZIP 29203
Phone: (803) 705-3172
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DR. Dwayne Aubrey Jacobus, D.P.M. is a primary podiatric medicine podiatrist in Columbia, SC with 24 years of experience. DR. Dwayne Aubrey Jacobus, D.P.M. NPI is 1295726172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2000

The provider's business location address is:

3800 N MAIN ST STE B
COLUMBIA, SC
ZIP 29203-446
Phone: (803) 705-3172
Fax: (803) 705-3173

The NPI 1295726172 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)

The enumeration date for this NPI number is 10/31/2005 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist565SOUTH CAROLINANo
2213E00000XPodiatrist847TENNESSEENo
3213EP1101XPodiatristPrimary Podiatric Medicine847TENNESSEENo
4213ES0131XPodiatristFoot Surgery847TENNESSEENo
5213ES0131XPodiatristFoot Surgery565SOUTH CAROLINANo
6213EP1101XPodiatristPrimary Podiatric Medicine565SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T14910AOTHERTENNESSEEMEDICARE TN
2PD5658MEDICAIDSOUTH CAROLINA
3Q058390MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.