Jacob Randall Adkins, FNP
Individual provider Active NPI Family Nurse Practitioner · Augusta, GA
NPI 1508330739 · NPPES record last updated Feb 7, 2019
Key facts
- NPI
- 1508330739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN215084 (GA)
- Practice address
- 1120 15TH St
Augusta, GA 30912-3907 - Phone
- (706) 723-4200
- NPI assigned
- Jan 22, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.67 of 100
- Improvement activities
- 40
- Cost
- 79.56
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190913001950 | GA | Practitioner - Nurse Practitioner | 4587993696 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians - Southeast PC | Current |
Accepting new patients | |
| Au Medical Associates Emergency Medicine Billing Services, LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Peach State Emergency Physicians LLC | Current |
Accepting new patients |
Locations
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
1120 15th St
Bldg O107
Augusta, GA 30912
1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN215084 | GA | Yes |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912-3907
Mailing address
553 Country Place LN
Evans, GA 30809-3907
Phone (706) 825-6150
Other providers in Augusta, GA
- Michael Abiodun Adeleye
- Alaba Risikat Adeshigbin
- Amidat O Adeyemi
- Raj Adhikari
- Ashley Adkins
- Katie Adkins
- Lisa Michele Adkins
- Robert Jeffrey Adkins
- Rosemarie Adkins
- Adrian Janit Psychlsvcs LLC
All providers in Augusta, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.