Individual provider Active NPI

Jacob Seltman, MD

  • Internal Medicine Physician
  • Jonesboro, GA
National Provider Identifier
1801415922
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
100682 Issued in GA
Practice address
7823 Spivey Station Blvd Ste 310
Jonesboro, GA 30236-2886
Phone
(770) 996-1122
Fax
(770) 907-1429
NPI assigned
Apr 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 100682 GA Primary
Pediatrics Physician 208000000X 100682 GA

Addresses

Primary practice location

7823 Spivey Station Blvd Ste 310
Jonesboro, GA 30236-2886

Mailing address

1110 W Peachtree St NW Ste 1100
Atlanta, GA 30309-3609
Phone (404) 892-2131

Other practice location 1

1110 W Peachtree St NW Ste 1100
Atlanta, GA 30309-3609
Phone (404) 892-2131

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jacobseltman@lmg.allscriptsdirect.net Direct
Direct Messaging Address jacobseltman@lmg.allscriptsdirect.net Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813004488 GA Practitioner - Internal Medicine 6608294467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mercer University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laureate Medical Group at Northside, LLCGroup PAC ID 2668458530, 75 clinicians

Practice addresses (Care Compare)

7823 Spivey Station Blvd
Suite 310
Jonesboro, GA 30236-2886
Phone (770) 996-1122

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Southern Regional Medical Center Hospital, Riverdale, GA, CCN 110165
  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
76.16
Promoting interoperability
88
Improvement activities
40
Cost
70.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100682GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laureate Medical Group at Northside LLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Gwinnett Hospital System Gme, LLC Internal Medicine CurrentSince Oct 21, 2025 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 500
Alpharetta, GA 30005
Phone (678) 775-2284

1110 W Peachtree St NW
Ste 1100
Atlanta, GA 30309
Phone (404) 256-8500

7823 Spivey Station Blvd
Ste 310
Jonesboro, GA 30236
Phone (770) 989-6112

665 Duluth Hwy
Ste 401
Lawrenceville, GA 30046
Phone (678) 312-0450

665 Duluth Hwy
Ste 501
Lawrenceville, GA 30046
Phone (678) 312-0400

6135 Barfield Rd
Ste 200
Sandy Springs, GA 30328
Phone (404) 256-8500

6600 Peachtree Dunwoody Rd
Bldg 600
Sandy Springs, GA 30328

1000 Johnson Ferry Rd
#10905
Sandy Springs, GA 30342

Interoperability endpoints

  • Direct secure messaging: jacobseltman@lmg.allscriptsdirect.net

Organizations & group practices 2

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 4

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1801415922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 1100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609",
            "telephone_number": "404-892-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7823 SPIVEY STATION BLVD STE 310",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362886",
            "telephone_number": "770-996-1122",
            "fax_number": "770-907-1429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 W Peachtree St NW Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303093609",
            "country_code": "US",
            "telephone_number": "404-892-2131",
            "fax_number": "404-215-9222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELTMAN",
        "first_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "100682",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "100682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacobseltman@lmg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "1110 W Peachtree St NW Ste 1100",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303093609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacobseltman@lmg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Edge",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "7823 Spivey Station Blvd Ste 310",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302362886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

Verify at the official NPI Registry.