DR. WILLIAM SOLOMON JACOBS JR. (NPI# 1619915824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619915824 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM SOLOMON JACOBS JR. |
| Credential | M. D. |
| Practice Address |
997 St. Sebastian Way Augusta GA 30901-2603 |
| Mailing Address |
1499 Walton Way Ste 1400 Attn: Donna Raiford Augusta GA 30901-2603 |
| Practice Telephone | 7067216597 |
| Practice Fax Number | 7067211793 |
| Mailing Telephone | 7068288402 |
| Mailing Fax Number | 7067211793 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 071681 | GA | Allopathic & Osteopathic Physicians |
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
071681 | GA | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
071681 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA LICENSES | 071681 | 01 |
| GA | DEA | AJ2717291 | 01 |
| GA | 000291101C,D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912323361 | William Jacobs | Massage Therapist | 13433 Ne 20th St Ste D, Bellevue, WA 98005-2024 | 2014-03-10 |
| 1356428585 | William Anderson Jacobs | Emergency Medicine | 3185 Highway 17, Green Cove Springs, FL 32043-9371 | 2006-11-01 |
| 1962587287 | William M. Jacobs | Pediatrics | 8405 E. Baseline Rd., Suite 107, Mesa, AZ 85209 | 2006-10-26 |
| 1417037375 | William Charles Jacobs | Registered Nurse | 816 8th St Nw, Puyallup, WA 98371-4129 | 2006-10-16 |
| 1619918430 | William Jacobs | Counselor | 1127 Alameda Blvd Nw Ste C, Albuquerque, NM 87114-1240 | 2006-06-10 |
| 1497746788 | William Jacobs | Dentist | 84 Rose Ave, Westbury, NY 11590-1028 | 2005-11-04 |
| 1467440966 | William Louis Jacobs | Chiropractor | 658 W Algonquin Rd, Des Plaines, IL 60016-5760 | 2005-10-10 |
| 1174528384 | William Carlisle Jacobs | Internal Medicine | 5669 Peachtree Dunwoody Rd Ne, Suite 315, Atlanta, GA 30342-1786 | 2005-06-15 |
| 1265882260 | William Matthew Jacobs | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2016-06-21 |
| 1639317308 | William Carl Jacobs Jr. | Pathology | 1000 Blythe Blvd Fl 4, Charlotte, NC 28203-5812 | 2009-02-03 |
| Street Address |
997 ST. SEBASTIAN WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902881485 | William Vaughn Mccall | Psychiatry & Neurology | 997 St. Sebastian Way, Georgia Regents Medical Associates, Augusta, GA 30901 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023028719 | Brian P Mills | Anesthesiology | 1 Va Ctr, Augusta, ME 04330-6719 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396283859 | Arilex Medical Services, LLC | Anesthesiology | 5983 Highway 53 E Ste 100, Dawsonville, GA 30534-9512 | 2017-02-05 |
| 1558672014 | Gary George Theofilis | Anesthesiology | 6125 Broadwater Trl, Cumming, GA 30040-9521 | 2010-06-29 |
| 1154312312 | Peter Edward Fong | Anesthesiology | 106 Allen St, Cumming, GA 30040-2602 | 2005-11-04 |
| 1992292973 | Advanced Spine & Pain Interventions LLC - Jasper | Anesthesiology | 620 J L White Drive, Suite 140, Jasper, GA 30143 | 2018-04-16 |
| 1184021180 | Advanced Spin & Pain Interventions, LLC | Anesthesiology | 12389 Crabapple Rd, Alpharetta, GA 30004-6328 | 2014-11-19 |
| 1952567463 | Emory Medical Care Foundation | Anesthesiology | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2008-08-04 |
| 1619188505 | Woodley Bernadette Mardy-davis | Anesthesiology | 12389 Crabapple Rd, Alpharetta, GA 30004-6328 | 2007-05-24 |
| 1619958790 | Dawnetta Janene Holladay | Anesthesiology | 1620 Prince Ave, Athens, GA 30606-6008 | 2005-11-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.