Individual provider Active NPI

Leigh Jacobs, AGPCNP

  • Adult Health Nurse Practitioner
  • Okatie, SC
National Provider Identifier
1134628373
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
21413 Issued in SC
Practice address
719 Okatie Hwy # 170
Okatie, SC 29909-3963
Phone
(843) 987-7400
NPI assigned
Feb 2, 2018
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 21413 SC Primary

Addresses

Primary practice location

719 Okatie Hwy # 170
Okatie, SC 29909-3963

Mailing address

8 Riley Rd
Beaufort, SC 29906-9025
Phone (843) 597-1343

Other practice location 1

16 Kemmerlin Ln Ste A
Beaufort, SC 29907-2709
Phone (843) 524-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20180626002258 SC Practitioner - Nurse Practitioner 8628323078 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

721 N Okatie Hwy
Ridgeland, SC 29936-8276

721 Okatie Hwy
Okatie, SC 29909-3963
Phone (843) 987-7400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Nov 16, 2020 Accepting new patients
SC House Calls Inc CurrentSince Aug 29, 2022 Accepting new patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc CurrentSince Mar 1, 2024 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Nov 16, 2020 Accepting new patients
SC House Calls Inc CurrentSince Aug 29, 2022 Accepting new patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc. CurrentSince Mar 1, 2024 Accepting new patients

Locations

719 Okatie Hwy
Okatie, SC 29909

721 Okatie Hwy
Okatie, SC 29909

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

721 N Okatie Hwy
#170
Ridgeland, SC 29936

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0fba742b-eec1-4103-87e5-edbdf1fe1e30/
  • FHIR API: https://fhir4.healow.com/fhir/r4/EICIBD

Organizations & group practices 6

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

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": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1134628373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RILEY RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299069025",
            "telephone_number": "843-597-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 OKATIE HWY # 170",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299093963",
            "telephone_number": "843-987-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Kemmerlin Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299072709",
            "country_code": "US",
            "telephone_number": "843-524-2002",
            "fax_number": "843-524-3522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "LEIGH",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "21413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.