Martin A Jacobson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

062364 Issued in GA

Practice address

1410 Bacon Park Dr
Savannah, GA 31406-2008

Phone

(843) 240-2802

NPI assigned

Apr 12, 2006

Last updated

Jan 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Department of Behavioral Health and Developmental Disabilities

  dba Central State Hospital

  • Psychiatric Hospital
  • Milledgeville, GA
  • NPI 1902030307
  Medicare reassignment NPD
• Department of Behavioral Health & Developmental Disabilities

  dba Georgial Regional Hospital at Savannah

  • Psychiatric Hospital
  • Savannah, GA
  • NPI 1942432737
  NPD
• Department of Behavioral Health & Developmental Disabilities, Ga

  dba Southwest Community Clinic

  • Neurology Physician
  • Thomasville, GA
  • NPI 1174942684
  NPD

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1811951593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BACON PARK DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062008",
            "telephone_number": "843-240-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BACON PARK DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062008",
            "telephone_number": "843-240-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MARTIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "20613",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "062364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "582203199-009",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305678198B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00778515",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206137",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305678198A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "582203199-004",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Errol Jacobi, M.D.
• Ashley Nicole Jacobs, M.S.
• Glenda R. Jacobs, RN, CDE
• Laurel Anne Jacobs, LCSW
• Marquii Jacobs, BCBA
• Jameson Jahna, PA-C
• Sata K Jallah
• Tujuana Shaw Jallah, LPC
• John William Jamerson III, D.D.S.
• James a Yeckley MD PC

• Family Medicine Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.

Verify at the official NPI Registry.