Billy Jacobs III, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA.1898 Issued in AL

Practice address

404 N Main St
Enterprise, AL 36330-2563

Phone

(334) 308-9797

NPI assigned

Aug 27, 2019

Last updated

Mar 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Emory University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

S.B.J.S. PCGroup PAC ID 8527043421, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: billy.jacobs.1@15455.direct.athenahealth.com

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.

• SBJS PC

  dba Southern Bone & Joint Specialists

  • Orthopaedic Surgery Physician
  • Dothan, AL
  • NPI 1134106065
  Medicare reassignment Care Compare group
• Southern Alabama Physicians LLP

  • Emergency Medicine Physician
  • Dothan, AL
  • NPI 1467701490
  Medicare reassignment
• S.B.J.S. PC

  dba Southern Bone & Joint Specialists

  • Durable Medical Equipment & Medical Supplies
  • Dothan, AL
  • NPI 1972824993
  NPD
• Southern Alabama Physicians,LLP

  • Emergency Medicine Physician
  • Enterprise, AL
  • NPI 1649696378

  Single Specialty

  NPD
• S.B.J.S. PC

  dba Southern Bone & Joint Specialists

  • Durable Medical Equipment & Medical Supplies
  • Dothan, AL
  • NPI 1629252499
  NPD (past)

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

• QHG of Enterprise Inc

  dba Medical Center Enterprise

  • General Acute Care Hospital
  • Enterprise, AL
  • NPI 1720039712
  Care Compare affiliation

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1295383834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302563",
            "telephone_number": "334-308-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302563",
            "telephone_number": "334-308-9797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1462 Clifton Rd NE Ste 280",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221000",
            "country_code": "US",
            "telephone_number": "404-727-7857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "BILLY",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-27",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA.1898",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Hutchinson Jr., PHARMACIST
• Independent Counseling & Assessment Services, Inc. (ICAS, Inc.)
• Intervention Services of Southeast Alabama, LLC
• Ivy Creek Family Care of Enterprise
• Lashay Jackson, LPC
• James E Flowers MD PC
• Shekia L James
• Emily Jeffreys, FNP-C
• Elray Jenkins, MD
• JLH Counseling, LLC

• Surgical Physician Assistant in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Surgical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.