Julia Lane Jacobi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4482-24 Issued in MS

Practice address

306 Fountains Dr
Madison, MS 39110-6384

Phone

(601) 605-1410

NPI assigned

Jul 8, 2021

Last updated

Nov 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• LD-Madison, LLC

  dba Colony Dental

  • Dental Clinic/Center
  • Madison, MS
  • NPI 1285415216
  NPD
• Jeffrey S. Toler, D.D.S., Millerville Dental Group, a Professional Cor

  dba Millerville Dental Group

  • Dentist
  • Baton Rouge, LA
  • NPI 1871006908
  NPD
• Dentists of Paradise Valley, LLP

  dba Dentists of Paradise Valley

  • Dentist
  • Phoenix, AZ
  • NPI 1699250407
  NPD (past)
• Glendale Modern Dentistry, LLP

  dba Glendale Modern Dentistry

  • Dentist
  • Glendale, AZ
  • NPI 1255757308
  NPD (past)

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1477124576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 FOUNTAINS DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106384",
            "telephone_number": "601-605-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 FOUNTAINS DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106384",
            "telephone_number": "601-605-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Millerville Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708161896",
            "country_code": "US",
            "telephone_number": "225-960-4407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5143 W Olive Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853024206",
            "country_code": "US",
            "telephone_number": "623-939-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4757 E Greenway Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850328510",
            "country_code": "US",
            "telephone_number": "602-344-9463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBI",
        "first_name": "JULIA",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "011099",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7481",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4482-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Eye Associates PLLC (JEA Madison Office)
• Adam Wayne Jackson, DC
• Lavar Jackson
• Melissa B Jackson, FNP
• William Dotie Jackson, MD
• Glenn E James, M.D.
• Taylor Cannon James, FNP-C
• Jea Optical LLC
• Jea Surgical, LLC
• Fanasy Prokop Jefcoat, D.M.D., MS

• General Practice Dentistry in Madison, MS
• Providers in Madison, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.