Active NPI
Gail A Jacoby, MD
- Pediatrics Physician
- Nottingham, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0095933
- Practice address
- 4924 Campbell Blvd
Nottingham, MD 21236-5908 - Phone
- (443) 442-2300
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD19367 | OR | |
| Pediatrics Physician | 208000000X | D0095933 | MD | Primary |
Addresses
Primary practice location
4924 Campbell Blvd
Nottingham, MD 21236-5908
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (503) 215-6494
Other practice location 1
9427 SW Barnes Rd
Suite 396
Portland, OR 97225-6652
Phone (503) 216-6550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074880 | Medicaid | OR |
Other names 1
- Gail Ann Jacoby-Low
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gjacoby102374@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0095933 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Pediatrics | Current | Accepting new patients |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients |
Locations
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
4924 Campbell Blvd
Nottingham, MD 21236
Phone (443) 442-2200
Interoperability endpoints
- gjacoby102374@oc.providencedirect.org
- gjacoby1124579@direct.hopkinsmedicine.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1578598868
Pediatrics
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1972558245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "503-215-6494",
"fax_number": "503-215-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4924 CAMPBELL BLVD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212365908",
"telephone_number": "443-442-2300"
}
],
"practiceLocations": [
{
"address_1": "9427 SW Barnes Rd",
"address_2": "Suite 396",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972256652",
"country_code": "US",
"telephone_number": "503-216-6550",
"fax_number": "503-216-6575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBY",
"first_name": "GAIL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD19367",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0095933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "074880",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gjacoby102374@oc.providencedirect.org",
"affiliation": "N",
"address_1": "9427 SW Barnes Rd Ste 395",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972256652",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GAIL",
"last_name": "JACOBY-LOW",
"middle_name": "ANN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.