Jacobs Audiology LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

JACOBS AUDIOLOGY LLC

Practice address

6915 Laurel Bowie Rd Ste 304
Bowie, MD 20715-1725

Phone

(301) 860-1124

Fax

(240) 929-4640

NPI assigned

May 4, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Marcia E Jacobs, M.A.NPI 1306140199

Title

Audiologist

Phone

(301) 860-1124

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jacobs Audiology LLC

  • Medical Specialty Clinic/Center
  • Prince Frederick, MD
  • NPI 1194120808

  4688851298

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jacobs Audiology LLC

  • Medical Specialty Clinic/Center
  • Prince Frederick, MD
  • NPI 1194120808

  O20150326001292

  Same enrollment

Locations

Practitioners 3

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

• Marcia Jacobs, M.A.

  • Audiologist
  • Bowie, MD
  • NPI 1306140199

  DC

  Medicare reassignment NPD Authorized official
• Ricki Gemmel, M.S., F-MAA

  • Audiologist
  • Lexington Park, MD
  • NPI 1598448219

  DC

  Medicare reassignment NPD
• Angela R Schrout, AU.D.

  • Audiologist
  • Bowie, MD
  • NPI 1184390650

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1699067066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 LAUREL BOWIE RD STE 304",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151725",
            "telephone_number": "301-860-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 LAUREL BOWIE RD STE 304",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151725",
            "telephone_number": "301-860-1124",
            "fax_number": "240-929-4640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22738 Maple Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Lexington Park",
            "state": "MD",
            "postal_code": "206533347",
            "country_code": "US",
            "telephone_number": "410-535-0024",
            "fax_number": "240-237-8573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3062 Waldorf Market Pl",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034871",
            "country_code": "US",
            "telephone_number": "410-535-0024",
            "fax_number": "240-237-8573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACOBS AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "301-860-1124",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Jackson
• Jamal D Jackson
• Joyce Jackson, LMSW
• Tomesha Jackson, LCPC
• Yvonne Marie Jackson, M.D.
• Jacobs Promise
• Lynne Ann Jacobs, ARNP
• Marcia Jacobs, M.A.
• Tiffany Nicole Jacobson, COSMETIC TATTOOER
• Regina Marie Jadwisiak

• Audiologist in Bowie, MD
• Providers in Bowie, MD by specialty
• Audiologist in Maryland

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.