Individual provider Active NPI

Jacob Austin Harrison, NP

  • Acute Care Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1083438097
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN-NP248273 Issued in GA
Practice address
1326 Eisenhower Dr BLDG 2
Savannah, GA 31406-3928
Phone
(912) 527-5300
Fax
(912) 527-5154
NPI assigned
Nov 14, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X APRN-NP248273 GA Primary

Addresses

Primary practice location

1326 Eisenhower Dr BLDG 2
Savannah, GA 31406-3928

Mailing address

1326 Eisenhower Dr BLDG 2
Savannah, GA 31406-3928
Phone (912) 527-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20250715004029 GA Practitioner - Nurse Practitioner 7416462700 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP248273GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SJ SC Cardiology LLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients

Locations

1000 Towne Center Blvd
Bldg 1200
Pooler, GA 31322
Phone (912) 748-2280

1326 Eisenhower Dr
Bldg 2
Savannah, GA 31406
Phone (912) 354-5543

836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1083438097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 EISENHOWER DR BLDG 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063928",
            "telephone_number": "912-527-5300",
            "fax_number": "912-527-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 EISENHOWER DR BLDG 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063928",
            "telephone_number": "912-527-5300",
            "fax_number": "912-527-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JACOB",
        "middle_name": "AUSTIN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-14",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "APRN-NP248273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.