NPIMap

Organization Active NPI

Jacob Medical Associates LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Clermont, FL
National Provider Identifier
1174714414
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME90116 Issued in FL
Legal business name
JACOB MEDICAL ASSOCIATES LLC
Practice address
426 Disston Ave
Clermont, FL 34711-2633
Phone
(407) 215-4999
Fax
(888) 762-3102
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Viola M Jacob, M.DNPI 1972597193
Title
Medical Director
Phone
(239) 444-8185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X ME90116 FL Primary

Addresses

Primary practice location

426 Disston Ave
Clermont, FL 34711-2633

Mailing address

426 Disston Ave
Clermont, FL 34711-2633
Phone (239) 444-8185

Other identifiers 2

IdentifierTypeStateIssuer
280396800MedicaidFL
43943OtherFLBC/BS

Other names 1

  • VIOLA JACOB Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071010000592 FL Part B Supplier - Clinic/Group Practice 8820184500 Receives reassigned benefits from 8 practitioners
Practice locations: Clermont, FL; Orlando, FL; Oviedo, FL

National Provider Directory

National Provider Directory

Locations

2500 W Church St
Orlando, FL 32805
Phone (407) 295-5371

2063 W State Road 426
Oviedo, FL 32765
Phone (407) 365-3456

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1174714414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 DISSTON AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112633",
            "telephone_number": "239-444-8185",
            "fax_number": "888-762-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 DISSTON AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112633",
            "telephone_number": "407-215-4999",
            "fax_number": "888-762-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "VIOLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-444-8185",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME90116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280396800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "43943",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIOLA JACOB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.