Individual provider Active NPI

John Clinton Jacobs V, M.D.

  • Emergency Medicine Physician
  • Mobile, AL
National Provider Identifier
1063673325
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD29371 Issued in AL
Practice address
3719 Dauphin St
Mobile, AL 36608-1753
Phone
(251) 626-5377
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD29371 AL Primary

Addresses

Primary practice location

3719 Dauphin St
Mobile, AL 36608-1753

Mailing address

1208 US Highway 98
Daphne, AL 36526-4254
Phone (251) 626-5377

Other practice location 1

1208 US Highway 98
Daphne, AL 36526-4254
Phone (251) 626-5377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091124000111 AL Practitioner - Emergency Medicine 4880733252 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Alabama School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care by the Bay, LLCGroup PAC ID 4284811522, 11 clinicians

Practice addresses (Care Compare)

1208 US Hwy 98
Daphne, AL 36526-4254
Phone (251) 626-5377

Hospital & facility affiliations

  • Springhill Medical Center Hospital, Mobile, AL, CCN 010144
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as group
Quality
80
Improvement activities
40
Cost
75.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Emergency Physicians, P.C.. Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Springhill Emergency Physicians, PC Emergency Medicine CurrentSince Jun 9, 2011 Accepting new patients
Urgent Care by the Bay, LLC Emergency Medicine CurrentSince Jul 1, 2011 Accepting new patients
St. Clair Emergency Physicians, LLC. Emergency Medicine Past Accepting new patients
Clanton Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

1208 US Highway 98
Daphne, AL 36526
Phone (251) 626-5377

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1063673325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 US HIGHWAY 98",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264254",
            "telephone_number": "251-626-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081753",
            "telephone_number": "251-626-5377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 US Highway 98",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365264254",
            "country_code": "US",
            "telephone_number": "251-626-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JOHN",
        "middle_name": "CLINTON",
        "name_suffix": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD29371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.