Individual provider

Alexander Jacoby, PA-C, ATC

Physician Assistant Medical Physician Assistant Surgical Physician Assistant Medicare enrolled

Alexander Jacoby, PA-C, ATC is a Physician Assistant in Lexington, KY, registered under NPI 1558813394. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 740 S LIMESTONE STE L119, Lexington, KY 40536. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

740 S LIMESTONE STE L119, Lexington, KY 40536 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PA2088 KY Physician Assistant primary
PA2088 KY Medical Physician Assistant
PA2088 KY Surgical Physician Assistant
2601001728 MI Athletic Trainer
004998 OH Athletic Trainer

Licences are recorded in 3 states: KY, MI, OH. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
8628566619
Enrollment ID
I20251022000815

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Kentucky, Michigan and Ohio. The practice address on file is in Lexington, KY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

KY Kentucky practice address
Licence
PA2088
Specialty
Physician Assistant
Verify with the KY board →
MI Michigan
Licence
2601001728
Specialty
Athletic Trainer
Verify with the MI board →
OH Ohio
Licence
004998
Specialty
Athletic Trainer
Verify with the OH board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Physician Assistant covers

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. NUCC Health Care Provider Taxonomy, code 363A00000X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363A00000X Physician Assistant PA2088 KY primary
363AM0700X Medical Physician Assistant Medical PA2088 KY
363AS0400X Surgical Physician Assistant Surgical PA2088 KY
2255A2300X Athletic Trainer Athletic Trainer 2601001728 MI
2255A2300X Athletic Trainer Athletic Trainer 004998 OH

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1558813394 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 27, 2016
Last updatedAug 26, 2025
StatusActive
Sole proprietorNo
CredentialPA-C, ATC
Practice address 740 S LIMESTONE STE L119
Lexington, KY 40536
(859) 257-3253
Fax (859) 323-1203
Mailing address 740 S LIMESTONE WING D RM L119
Lexington, KY 40536
This record was updated on Aug 26, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1558813394 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 5 8 8 1 3 3 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 1 8 7 1 6 3 9

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1558813394?
NPI 1558813394 is the National Provider Identifier assigned to Alexander Jacoby, PA-C, ATC in Lexington, KY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physician Assistant cover?
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In…
How do I contact Alexander Jacoby, PA-C, ATC?
The phone number on file with NPPES is (859) 257-3253, last updated Aug 26, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Alexander Jacoby, PA-C, ATC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1558813394 a valid number?
Yes. 1558813394 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.