Michael Scott Jacobs, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

053926 Issued in GA

Practice address

1080 Vend Dr
Suite 100
Watkinsville, GA 30677-7751

Phone

(706) 549-7047

Fax

(706) 613-5395

NPI assigned

Feb 7, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, NE, VT3 enrollments

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 3

Specialty

Ophthalmology

Education

Emory University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rutland Hospital, Inc.Group PAC ID 7214846377, 186 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rutland Regional Medical Center Hospital, Rutland, VT, CCN 470005
• Southwestern Vermont Medical Center Hospital, Bennington, VT, CCN 470012

Merit-based Incentive Payment System (MIPS)

Final score

89.52 of 100Reported as group

Quality

92.71

Improvement activities

40

Cost

74.77

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/

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.

• Rutland Hospital, Inc.

  • Specialist
  • Rutland, VT
  • NPI 1083678833

  VT

  Medicare reassignment Care Compare group NPD
• Walton Eye Care, Inc.

  • Ophthalmology Physician
  • Monroe, GA
  • NPI 1891988465

  GA, Ophthalmology

  Medicare reassignment NPD
• North Platte Nebraska Hospital Corporation

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533

  NE

  Medicare reassignment NPD
• Optical Shop at Athens Eye Associates, Inc.

  • Eyewear Supplier
  • Bogart, GA
  • NPI 1407094261
  NPD Authorized official
• Thomas Edward Arey

  • Optometrist
  • Athens, GA
  • NPI 1740265594
  NPD
• North Platte Nebraska Hospital Corporation

  • Medical Oncology Physician
  • North Platte, NE
  • NPI 1134355332
  NPD
• Rutland Hospital, Inc.

  • Psychiatric Hospital Unit
  • Rutland, VT
  • NPI 1467416206
  NPD
• Rutland Hospital, Inc

  • Emergency Medicine Physician
  • Rutland, VT
  • NPI 1194789941
  NPD (past)

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

• Rutland Hospital, Inc.

  • General Acute Care Hospital
  • Rutland, VT
  • NPI 1720042203

  Hospital

  Care Compare affiliation
• Southwestern Vermont Medical Center Inc.

  • General Acute Care Hospital
  • Bennington, VT
  • NPI 1205865789

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1164495693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 VEND DR STE 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777751",
            "telephone_number": "706-549-7047",
            "fax_number": "706-613-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 VEND DR",
            "address_2": "SUITE 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777751",
            "telephone_number": "706-549-7047",
            "fax_number": "706-613-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "053926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220660534",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "P00131029",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inspiring Hospice Partners of Georgia LLC
• Ivin Anesthesia, LLC
• Elsia Denise Jackson
• Theldrina Latina Jackson
• Jennifer E Jacobs, DPM
• Ramou Jalloh
• James a Rooney MD PC
• Janet W Beasley, LLC
• Anda Jarvis, FNP
• Elizabeth Jean-Noel, ANP-BC

• All providers in Watkinsville, GA
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.