Jennifer E Jacobs DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD001149 Issued in GA

Legal business name

JENNIFER E JACOBS DPM LLC

Practice address

1747 Langford Drive
BLD. 400 Ste. 102
Watkinsville, GA 30677-7370

Phone

(706) 425-5433

Fax

(770) 573-6764

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer E Jacobs, DPMNPI 1811195837

Title

Owner

Phone

(706) 425-5433

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oconee Foot & Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Jennifer E Jacobs, DPM

  • Podiatrist
  • Watkinsville, GA
  • NPI 1811195837
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1497029672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 LANGFORD DRIVE",
            "address_2": "BLD. 400 STE. 102",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777370",
            "telephone_number": "706-425-5433",
            "fax_number": "770-573-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 LANGFORD DRIVE",
            "address_2": "BLD. 400 STE. 102",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777370",
            "telephone_number": "706-425-5433",
            "fax_number": "770-573-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER E JACOBS DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-425-5433",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125064A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oconee Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anda Jarvis, FNP
• Elizabeth Jean-Noel, ANP-BC
• Jeffrey a Davenport DC PC
• Emily Ann Jenda
• Vonkeria Laniya Jenkins
• Leah Marie Jobson, PA-C
• John T. Hansford DMD P.C.
• Serena Johns, RBT
• Traci Johns, NP
• Crystal Janay Johnson

• Podiatrist in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.