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JACOB EDWARD SPOON FNP-BC
NPI 1063330363
Nurse Practitioner - Family in Thomaston, GA

Active since July 07, 2026PECOS EnrolledAccepts Medicare Assignment
855 N CHURCH ST STE 939, THOMASTON, GA 30286(762) 417-1055(762) 417-1056 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacob Edward Spoon Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB EDWARD SPOON FNP-BC (NPI 1063330363) is an individual family provider in Thomaston, Georgia, licensed in Georgia (APRN-NP311338) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1063330363
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB EDWARD SPOONCredential: FNP-BC
Location Address855 N CHURCH ST STE 939Thomaston, GA 30286-3622
Mailing Address855 N Church St Ste 939Thomaston, GA 30286-3622 · (762) 417-1055 · Fax (762) 417-1056
Phone(762) 417-1055
Fax(762) 417-1056
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 7, 2026
Last NPPES UpdateJuly 9, 2026
NPPES CertifiedJuly 9, 2026
✔ NPI 1063330363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · APRN-NP311338
855 N CHURCH ST STE 939, Thomaston, GA 30286
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Edward Spoon Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709341696
PECOS Enrollment IDI20260721004531
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Spoon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Careconnect Health, Inc.
60 mi
Federally Qualified Health Center (FQHC)
510 ALSTON ST STE B
Richland, GA 31825
  • Reassigned Medicare billing, Georgia enrollment
  • 219 clinicians in this Medicare group
NPI 1063436624 (229) 887-3324

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30286 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELE RENEE WILCOX APRN
Nurse Practitioner (Pediatrics)
855 N CHURCH ST STE 939
THOMASTON, GA 30286
Upson County (762) 417-1055
CARECONNECT HEALTH, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
855 N CHURCH ST STE 939
THOMASTON, GA 30286
Upson County (762) 417-1055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Spoon's NPI number?

The NPI number for Jacob Spoon is 1063330363. It was assigned to this individual provider in the NPPES registry on July 7, 2026.

Where is Jacob Spoon located?

Jacob Spoon practices at 855 N Church St Ste 939, Thomaston, GA 30286. The listed phone number is (762) 417-1055.

What is Jacob Spoon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacob Spoon enrolled in Medicare?

Yes. Jacob Spoon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacob Spoon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Spoon reassigns Medicare benefits to Careconnect Health, Inc. (Richland, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Spoon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Spoon was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.