Individual provider Active NPI

George B Jacobs, MD

  • Orthopaedic Surgery of the Spine Physician
  • Cape Coral, FL
National Provider Identifier
1891895280
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME31130 Issued in FL
Practice address
5506 Harbour Preserve Cir
Cape Coral, FL 33914-2534
Phone
(239) 549-4610
Fax
(239) 549-2859
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X ME31130 FL Primary
Neurological Surgery Physician 207T00000X ME31130 FL

Addresses

Primary practice location

5506 Harbour Preserve Cir
Cape Coral, FL 33914-2534

Mailing address

5506 Harbour Preserve Cir
Cape Coral, FL 33914-2534
Phone (239) 549-4610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200330003781 FL Practitioner - Neurosurgery 4486683950 Practice locations: Cape Coral, FL

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Aug 28, 2022 Accepting new patients
Eastern Orthopedic Associates, MD PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://orthoeast.mmi.prod.fhir.ema-api.com/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1891895280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5506 HARBOUR PRESERVE CIR",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339142534",
            "telephone_number": "239-549-4610",
            "fax_number": "239-549-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5506 HARBOUR PRESERVE CIR",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339142534",
            "telephone_number": "239-549-4610",
            "fax_number": "239-549-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "GEORGE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME31130",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME31130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.