Active NPI
William Solomon Jacobs Jr., M. D.
- Addiction Medicine (Anesthesiology) Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Anesthesiology) Physician
- License
- 071681
- Practice address
- 997 St. Sebastian Way
Augusta, GA 30901-2603 - Phone
- (706) 721-6597
- Fax
- (706) 721-1793
- NPI assigned
- Jun 2, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 071681 | GA | |
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | 071681 | GA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 071681 | GA |
Addresses
Primary practice location
997 St. Sebastian Way
Augusta, GA 30901-2603
Mailing address
1499 Walton Way Ste 1400
Attn: Donna Raiford
Augusta, GA 30901-2603
Phone (706) 828-8402
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000291101C,D | Medicaid | GA | |
| 071681 | Other | GA | GA LICENSES |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071681 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Nexstep Integrated Pain Care Inc | Anesthesiology | Past | Accepting new patients |
| Physicians Group Services PA | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951
997 Saint Sebastian Way
Augusta, GA 30912
Phone (706) 721-3141
Organizations & group practices 4
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.
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-
dba Augusta University Health West Wheeler
- Durable Medical Equipment & Medical Supplies
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-
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- Jacksonville, FL
- NPI 1447274808
Anesthesiology
-
dba Coastal Health
- Durable Medical Equipment & Medical Supplies
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- NPI 1699170035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1619915824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 WALTON WAY STE 1400",
"address_2": "ATTN: DONNA RAIFORD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012603",
"telephone_number": "706-828-8402",
"fax_number": "706-721-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 ST. SEBASTIAN WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012603",
"telephone_number": "706-721-6597",
"fax_number": "706-721-1793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "WILLIAM",
"middle_name": "SOLOMON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "071681",
"primary": false
},
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "GA",
"license": "071681",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "GA",
"license": "071681",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000291101C,D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA LICENSES",
"identifier": "071681",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.