Individual provider Active NPI

Jacob Mathai, MD

  • Family Medicine Physician
  • Selma, AL
National Provider Identifier
1124550447
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47071 Issued in AL
Practice address
1023 Medical Center Pkwy Ste 200
Selma, AL 36701-7739
Phone
(334) 334-8754
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47071 AL Primary

Addresses

Primary practice location

1023 Medical Center Pkwy Ste 200
Selma, AL 36701-7739

Mailing address

1023 Medical Center Pkwy Ste 200
Selma, AL 36701-7739
Phone (334) 334-8754

Other practice location 1

100 Nicholls Rd
HSC 19-030
Stony Brook, NY 11794-0001
Phone (631) 444-1791

Other practice location 2

2024 Chestnut St
Montgomery, AL 36106-1111
Phone (334) 293-4008

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
I20250701000487 AL Practitioner - Family Practice 4981117124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Alabama at BirminghamGroup PAC ID 3779487970, 93 clinicians

Practice addresses (Care Compare)

1023 Medical Ctr Pkwy
Suite 200
Selma, AL 36701-7739
Phone (334) 875-4184

Hospital & facility affiliations

  • Amedisys Home Health of Selma Home health agency, Selma, AL, CCN 017320
  • Vaughan Regional Medical Center Parkway Campus Hospital, Selma, AL, CCN 010118
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham Current Accepting new patients
University of Alabama at Birmingham CurrentSince Jul 1, 2025 Accepting new patients
University of Alabama at Birmingham Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
University of Alabama at Birmingham Past Accepting new patients
Vaughan Regional Medical Center LLC Past Accepting new patients

Locations

1023 Medical Center Pkwy
Ste 200
Selma, AL 36701
Phone (334) 875-4184

Interoperability endpoints

  • Direct secure messaging: jacobmathai@scs.allscriptsdirect.net

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 3

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1124550447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 MEDICAL CENTER PKWY STE 200",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017739",
            "telephone_number": "334-334-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MEDICAL CENTER PKWY STE 200",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017739",
            "telephone_number": "334-334-8754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Nicholls Rd",
            "address_2": "HSC 19-030",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117940001",
            "country_code": "US",
            "telephone_number": "631-444-1791",
            "fax_number": "631-444-7689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2024 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361061111",
            "country_code": "US",
            "telephone_number": "334-293-4008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHAI",
        "first_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "47071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.