Individual provider Active NPI

Jacob Douglas Franklin, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • San Angelo, TX
National Provider Identifier
1770015885
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
S8825 Issued in TX
Practice address
271 Ft Richardson Ave
San Angelo, TX 76908
Phone
(817) 301-4761
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S8825 TX
Adolescent Medicine (Family Medicine) Physician 207QA0000X S8825 TX
Geriatric Medicine (Family Medicine) Physician 207QG0300X S8825 TX
Sports Medicine (Family Medicine) Physician 207QS0010X S8825 TX
Internal Medicine Physician 207R00000X 19837 NV
Pediatrics Physician 208000000X S8825 TX
Hospitalist Physician 208M00000X 19837 NV
Hospitalist Physician 208M00000X A170976 CA
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X S8825 TX Primary

Addresses

Primary practice location

271 Ft Richardson Ave
San Angelo, TX 76908

Mailing address

3912 Country Club Rd
Arlington, TX 76013-3046
Phone (817) 301-4761

Other practice location 1

5301 Southwest Pkwy Ste 400
Austin, TX 78735-8986
Phone (817) 301-4761

Other practice location 2

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 269-4253

Other practice location 3

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-7878

Other practice location 4

7500 Rialto Blvd Ste 1-140
Austin, TX 78735-8534
Phone (512) 730-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211204000244 TX Practitioner - Family Practice 3274870464 Reassigns benefits to 4 organizations
I20240531000633 TX Practitioner - Emergency Medicine 3274870464 Reassigns benefits to 1 organization
I20260318003840 OK Practitioner - Emergency Medicine 3274870464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Granbury Hospital-Based Professional ServicesGroup PAC ID 3971940966, 69 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians
Brazos Emergency Medicine Associates PAGroup PAC ID 3274005103, 12 clinicians

Practice addresses (Care Compare)

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-2273

215 Chisholm TRL
Jacksboro, TX 76458-1403
Phone (940) 567-6633

5309 E US Hwy 377
Granbury, TX 76049-1275
Phone (817) 573-2273

Hospital & facility affiliations

  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
  • Odessa Regional Medical Center Hospital, Odessa, TX, CCN 450661
  • Stephens Memorial Hospital Hospital, Breckenridge, TX, CCN 671302

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S8825TXMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Clinic Family Medicine CurrentSince May 1, 2024 Accepting new patients
Lake Granbury Hospital-Based Professional Services Hospitalist CurrentSince Jan 1, 2025 Accepting new patients
Texas Emergency Group LLC CurrentSince Jun 1, 2023 Accepting new patients
Concord Medical Group PLLC CurrentSince Oct 14, 2021 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 14, 2021 Accepting new patients
Domorenow LLC Emergency Medical Services Current Accepting new patients
Ies ER Oklahoma LLC CurrentSince Feb 12, 2026 Accepting new patients

Locations

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

5309 E US Highway 377
Granbury, TX 76049
Phone (682) 498-6890

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

Interoperability endpoints

  • Direct secure messaging: jacob.franklin.1@6815.direct.athenahealth.com
  • Direct secure messaging: jfranklin159197@direct.renown.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1770015885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 COUNTRY CLUB RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760133046",
            "telephone_number": "817-301-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 FT RICHARDSON AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76908",
            "telephone_number": "817-301-4761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Southwest Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358986",
            "country_code": "US",
            "telephone_number": "817-301-4761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Dolbeer St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955014736",
            "country_code": "US",
            "telephone_number": "707-269-4253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1155 Mill St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021576",
            "country_code": "US",
            "telephone_number": "775-982-7878",
            "fax_number": "775-982-4196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Rialto Blvd Ste 1-140",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358534",
            "country_code": "US",
            "telephone_number": "512-730-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "JACOB",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S8825",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "S8825",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "S8825",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "S8825",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "19837",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S8825",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "19837",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A170976",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "S8825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.