Individual provider Active NPI

Jacob N Jorns, MD

  • Urology Physician
  • Gulfport, MS
National Provider Identifier
1871737064
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
23207 Issued in MS
Practice address
1340 Broad Ave Ste 210
Gulfport, MS 39501-2465
Phone
(228) 575-1600
NPI assigned
May 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 23207 MS Primary

Addresses

Primary practice location

1340 Broad Ave Ste 210
Gulfport, MS 39501-2465

Mailing address

1340 Broad Ave Ste 210
Gulfport, MS 39501-2465
Phone (228) 575-1600

Other practice location 1

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230201000732 AL Practitioner - Urology 4587801063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Louisiana State University School of Medicine in Shreveport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates of Mobile, P.a.Group PAC ID 3870497951, 60 clinicians

Practice addresses (Care Compare)

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone (251) 433-1895

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
77.29
Promoting interoperability
100
Improvement activities
40
Cost
78.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23207MSMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Mobile, P.a. Urology CurrentSince Jan 27, 2023 Accepting new patients

Locations

134 Hoyle Ave
Fairhope, AL 36532

100 Memorial Hospital Dr
Ste 1A
Mobile, AL 36608
Phone (251) 343-6848

168 Mobile Infirmary Blvd
Mobile, AL 36607
Phone (251) 633-3617

Interoperability endpoints

  • Direct secure messaging: jacobjorns@uam.allscriptsdirect.net

Organizations & group practices 1

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 8

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": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1871737064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BROAD AVE STE 210",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012465",
            "telephone_number": "228-575-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BROAD AVE STE 210",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012465",
            "telephone_number": "228-575-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 San Pablo Rd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322241865",
            "country_code": "US",
            "telephone_number": "904-953-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORNS",
        "first_name": "JACOB",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-01",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "23207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.