Individual provider Active NPI

Jacobo Leon, MD

  • Infectious Disease Physician
  • Augusta, GA
National Provider Identifier
1972863629
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
075291 Issued in GA
Practice address
2050 Walton Way
Augusta, GA 30904-2305
Phone
(706) 434-1590
Fax
(706) 434-1595
NPI assigned
May 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME147092 FL
Infectious Disease Physician 207RI0200X 075291 GA Primary

Addresses

Primary practice location

2050 Walton Way
Augusta, GA 30904-2305

Mailing address

PO Box 45443
Salt Lake City, UT 84145-0443
Phone (904) 202-1032

Other practice location 1

820 Prudential Dr Ste 515
Jacksonville, FL 32207-8207
Phone (904) 396-4886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170822003272 GA Practitioner - Infectious Disease 6901049675 Reassigns benefits to 2 organizations
I20201102001383 FL Practitioner - Infectious Disease 6901049675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2050 Walton Way
Suite 101
Augusta, GA 30904-4163
Phone (706) 790-4440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evirtualcare, LLC CurrentSince Jun 23, 2019 Accepting new patients
Neighborhood Improvement Project, Inc CurrentSince Dec 1, 2024 Accepting new patients
Baptist Primary Care Inc Infectious Disease CurrentSince Nov 30, 2020 Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Dec 1, 2024 Accepting new patients
Baptist Primary Care Inc CurrentSince Nov 30, 2020 Accepting new patients
Neighborhood Improvement Project, Inc Past Accepting new patients

Locations

820 Prudential Dr
Ste 515
Jacksonville, FL 32207
Phone (904) 396-4886

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

2050 Walton Way
Ste 101
Augusta, GA 30904
Phone (706) 434-1590

1580 Walton Way
Augusta, GA 30904
Phone (706) 434-1590

2050 Walton Way
Augusta, GA 30904
Phone (706) 434-1590

Interoperability endpoints

  • Direct secure messaging: jacobo.leon@mapbt.eclinicaldirectplus.com

Organizations & group practices 7

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 2

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1972863629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45443",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841450443",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309042305",
            "telephone_number": "706-434-1590",
            "fax_number": "706-434-1595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Prudential Dr Ste 515",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078207",
            "country_code": "US",
            "telephone_number": "904-396-4886",
            "fax_number": "904-398-0496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "JACOBO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME147092",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "075291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.