Jacob Carson Sellers, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN246136 Issued in GA

Practice address

11700 Mercy Blvd Ste 5
Savannah, GA 31419-1753

Phone

(912) 927-6270

NPI assigned

Aug 27, 2019

Last updated

Aug 27, 2019By the provider in NPPES

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

Enrolled in GA

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

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southeast Lung and Critical Care Specialists PCGroup PAC ID 7618962291, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph's Hospital - Savannah Hospital, Savannah, GA, CCN 110043
• Candler Hospital Hospital, Savannah, GA, CCN 110024

Merit-based Incentive Payment System (MIPS)

Final score

85.85 of 100Reported as group

Quality

81.9

Promoting interoperability

100

Improvement activities

40

Cost

70.94

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southeast Lung & Critical Care Specialists, P.C.

  dba Southeast Lung Associates

  • Specialist
  • Savannah, GA
  • NPI 1740244276
  Medicare reassignment Care Compare group NPD
• Southeast Lung & Critical Care Specialists

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Baxley, GA
  • NPI 1366064164
  NPD
• Southeast Lung & Critical Care Specialists

  • Sleep Specialist (PhD)
  • Rincon, GA
  • NPI 1194975086
  NPD (past)
• Southeast Lung & Critical Care Specialists P C

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Hinesville, GA
  • NPI 1528578028
  NPD (past)
• Southeast Lung & Critical Care Specialists, P.C.

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Savannah, GA
  • NPI 1023383247
  NPD (past)
• Southeast Lung & Critical Care Specialists, PC

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Jesup, GA
  • NPI 1447628789

  Family

  NPD (past)
• Southeast Lung & Critical Care Specialists, PC

  dba Southeast Lung Associates

  • Pulmonary Disease Physician
  • Savannah, GA
  • NPI 1770989154
  NPD (past)

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

• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889
  Care Compare affiliation
• Saint Joseph's Hospital, Inc.

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1063406684
  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": "1566864000000",
    "number": "1326696071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 HODGSON CT STE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061523",
            "telephone_number": "912-629-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 MERCY BLVD STE 5",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191753",
            "telephone_number": "912-927-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "JACOB",
        "middle_name": "CARSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN246136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Specialty Hospital - Savannah, Inc.
• Laura M Seleen, PHARM D
• Alexis Nicole Selesky, CAA
• Selvira Selimovic
• Courtney Elizabeth Sellers, PA-C
• Lynsey Sellers
• Sherri Lee Sellers, WHNP
• Seminole DME LLC
• Lisa M Semple, DO
• Sohawm Amit Sengupta

• Family Nurse Practitioner in Savannah, GA
• Providers in Savannah, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.