JACOB T LOGSDON (PA) – Medical Physician Assistant, NPI 1386978682

JACOB T LOGSDON (PA) is a healthcare provider. based in Fernandina beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1467 (NE). The NPI Number for JACOB T LOGSDON (PA) is 1386978682

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JACOB T LOGSDON (PA)
NPI
1386978682
Phone
(308) 289-4981
Address
1987 S 8TH ST
Enumeration Date
21 September 2009
Last Update Date
3 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9046247003
Graduation Year
2009 (17 years ago)
PAC ID
7416094511
Group Practice PAC ID
8628389244
Professional Enrollment ID
I20140203001742
Address ID
FL320343071FE1987XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:16State licenses:3Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

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Provider Addresses for JACOB T LOGSDON (PA)

  • South 8th Street, Fernandina Beach, Nassau County, Florida, 32035, United States

    FERNANDINA BEACH, FL 320343071

    Phone: (308) 289-4981

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120629000132IPhysician AssistantGATBD
I20140203001742IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg3,037289$0
99214Established patient office or other outpatient visit, 30-39 minutes537412$0
96372Injection of drug or substance under skin or into muscle344316$0
87804Detection test by immunoassay with direct visual observation for influenza virus303141$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus223207$0
View full utilization report →

Insurance plans in this area (ZIP 32034)

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Provider's Procedures

JACOB T LOGSDON (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL73630X-ray of foot, minimum of 3 views1313

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628389244View full group profile
NameSpecialtyState
Nurse PractitionerGA
Physician AssistantGA
Physician AssistantFL
Family Practice, Emergency Medicine, Emergency MedicineGA
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
Physician AssistantFL

Reviews

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Frequently asked questions

Can I cross-check JACOB T LOGSDON (PA) using NPI 1386978682?
NPI 1386978682 belongs to JACOB T LOGSDON (PA); compare other details if you need extra assurance.
Would JACOB T LOGSDON (PA) appear as active to a payer?
You can treat JACOB T LOGSDON (PA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JACOB T LOGSDON (PA)?
JACOB T LOGSDON (PA)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JACOB T LOGSDON (PA) associated with Fernandina Beach?
Public fields place JACOB T LOGSDON (PA) around Fernandina Beach, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.