Terry E Jacobs, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

053554 Issued in GA

Practice address

960 Joe Frank Harris Pkwy SE
Anesthesia Dept
Cartersville, GA 30120-2129

Phone

(770) 382-1530

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Au Medical Associates Anesthesia Billing Services, LLC

  dba MCG Anesthesiology Financial Services

  • Anesthesiology Physician
  • Augusta, GA
  • NPI 1801843933
  NPD (past)
• Southeast Anesthesia PC

  • Anesthesiology Physician
  • Cartersville, GA
  • NPI 1750419693
  NPD (past)
• Dekalb Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Fort Payne, AL
  • NPI 1376625863
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144358292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SOUTH AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203559",
            "telephone_number": "770-387-0544",
            "fax_number": "770-387-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 JOE FRANK HARRIS PKWY SE",
            "address_2": "ANESTHESIA DEPT",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202129",
            "telephone_number": "770-382-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "TERRY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "053554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isd Renal Inc (Cartersville Renal Center)
• Muhammad Rashid Ishaque, M.D.
• Jennifer Jabaley, O.D.
• Godly Obomate Jack, MD
• Demetria A Jackson, NP
• Juthika Marie Jajal, D.C.
• Harini Jalagani, MD
• Leah Marie Grace James
• Armando Janeira, MD
• Janus RX LLC (North Georgia LTC Pharmacy)

• Anesthesiology Physician in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.