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TAMMY DEMETRIUS JACOBS LMHC, LPC, MA,
NPI 1114358660
Counselor - Mental Health in Wilmington, NC

Active since December 10, 2013PECOS Enrolled
503 COVIL AVE STE 102, WILMINGTON, NC 28403(910) 202-4270 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tammy Demetrius Jacobs Lmhc, Lpc, Ma, NPPES

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

TAMMY DEMETRIUS JACOBS LMHC, LPC, MA, (NPI 1114358660) is an individual mental health provider in Wilmington, North Carolina, licensed in Oregon (C8286) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114358660
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAMMY DEMETRIUS JACOBSCredential: LMHC, LPC, MA,
Location Address503 COVIL AVE STE 102Wilmington, NC 28403-2683
Mailing Address4369 Milner Rd WBirmingham, AL 35242-7355 · (646) 655-0475
Phone(910) 202-4270
Sole ProprietorNo
Enumeration DateDecember 10, 2013
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1114358660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in OR · C8286✔ Licensed in MD · LGP11355✔ Licensed in AL · LPC05181✔ Licensed in NC · 14816✔ Licensed in UT · 12852525-6009
503 COVIL AVE STE 102, Wilmington, NC 28403
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, BridgeSpan Health Company, Kaiser Permanente and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tammy Demetrius Jacobs Lmhc, Lpc, Ma, is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Tammy Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
598 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina and Oregon enrollments
  • 712 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Other Providers at the Same Location NPPES 20

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

KYLE KWIATKOWSKI
Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403
New Hanover County (559) 882-7130
REBECCA SHEEHAN
Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403
New Hanover County (888) 392-8642
KIMBERLY PAZ-FUENTES
Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403
New Hanover County (888) 392-8642
STEPHANIE TRAVAGLINE
Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403
New Hanover County (888) 392-8642
KAITLIN HORNICK
Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403
New Hanover County (888) 392-8642
CASSANDRA DESANTIS
Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403
New Hanover County (888) 392-8642
BRIDGET SHERMAN
Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403
New Hanover County (888) 392-8642
MADELINE ROE
Behavior Technician
503 COVIL AVE STE 102
WILMINGTON, NC 28403
New Hanover County (888) 392-8642

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 Tammy Jacobs's NPI number?

The NPI number for Tammy Jacobs is 1114358660. It was assigned to this individual provider in the NPPES registry on December 10, 2013.

Where is Tammy Jacobs located?

Tammy Jacobs practices at 503 Covil Ave Ste 102, Wilmington, NC 28403. The listed phone number is (910) 202-4270.

What is Tammy Jacobs's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tammy Jacobs enrolled in Medicare?

Yes. Tammy Jacobs is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tammy Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Jacobs reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Tammy Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tammy Jacobs accept?

Health plans from Blue Cross and Blue Shield of Alabama, BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and PacificSource Health Plans and 1 other insurer list Tammy Jacobs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tammy Jacobs was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.