Jeffrey Robert Jacobs (NPI# 1154454098, PAC ID# 7719012194) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1154454098 |
| PAC ID by PECOS | 7719012194 |
| Professional Enrollment ID | I20170322000192 |
| Full Name | Jeffrey Robert Jacobs |
| Organization Legal Name | HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC |
| Address |
200 Fleetwood Dr Easley SC 29640-2022 |
| Phone Number | 8644428229 |
| Gender | M |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8325261209 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420082 | AIKEN REGIONAL MEDICAL CENTER |
| 280060 | CHI HEALTH BERGAN MERCY |
| 420073 | LEXINGTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 302 University Pkwy, Aiken, SC 29801-6302 | 8036432090 | HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC |
| 200 Fleetwood Dr, Easley, SC 29640-2022 | 8644428229 | HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC |
| Organization Legal Name | HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime Christine Wise | Family Practice | Healogics Specialty Physicians of South Carolina, LLC | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Christina S Harman | Physician Assistant | Healogics Specialty Physicians of South Carolina, LLC | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Raymond S Corpe | Orthopedic Surgery | Healogics Specialty Physicians of South Carolina, LLC | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Street Address |
200 FLEETWOOD DR |
| City | EASLEY |
| State | SC |
| Zip | 29640-2022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven D Paveglio | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Ashlie Pruett Ceips | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Ashley Lauren Reecht | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Anthony Austin Brown | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Kristina Faith Brock | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Alan C Rodgers | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Mark E Hopkins | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Ronald G Veneskey | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| John W Mckiernan | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Randall J Brantley | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johnny H Cox | General Surgery | Prisma Health University Medical Group | 403 Hillcrest Dr, Suite C, Easley, SC 29640-1207 |
| Joshua A Morowitz | General Surgery | Baptist Easley Hospital | 403 Hillcrest Dr, Easley, SC 29640-1207 |
| Virginia L Beasley | Family Practice | Baptist Easley Hospital | 403 Hillcrest Dr, Easley, SC 29640-1207 |
| Herbert Randall Squires | Obstetrics/gynecology | Prisma Health University Medical Group | 112 John St, Suite 103, Easley, SC 29640-1405 |
| Kathleen C Pursley | Clinical Social Worker | Prisma Health University Medical Group | 112 John St, Suite 101, Easley, SC 29640-1405 |
| Sandra W Lamberson | Dermatology | 112 John St, Suite 105, Easley, SC 29640-1405 | |
| David Michael Boyer | Sports Medicine | Prisma Health University Medical Group | 112 John St, Suite 201, Easley, SC 29640-1406 |
| Erin Eckard | Obstetrics/gynecology | Prisma Health University Medical Group | 112 John St, Suite 202, Easley, SC 29640-1406 |
| Whitney Michele Sewell | Nurse Practitioner | Prisma Health University Medical Group | 112 John St, Suite 201, Easley, SC 29640-1406 |
| Malee S Thompson | Nurse Practitioner | Prisma Health University Medical Group | 112 John St, Suite 201, Easley, SC 29640-1406 |
| Find all physicians in zip 29640 | |||
| City | EASLEY |
| Zip Code | 29640 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | EASLEY + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jeffrey Robert Jacobs.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.