JACOB SUMMERFORD PA-C
NPI 1184070740
Physician Assistant in Cumming, GA

Active since May 12, 2016PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1100 NORTHSIDE FORSYTH DR, SUITE 250, CUMMING, GA 30041(770) 667-4337 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 15, 2025, May 12, 2016 (2 updates tracked since 2016).

About Jacob Summerford Pa-c NPPES

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

JACOB SUMMERFORD PA-C (NPI 1184070740) is an individual physician assistant in Cumming, Georgia, licensed in Georgia (7958) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1184070740
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB SUMMERFORDCredential: PA-C
Location Address1100 NORTHSIDE FORSYTH DR, SUITE 250Cumming, GA 30041-6012
Mailing Address1100 Northside Forsyth Dr Ste 250Cumming, GA 30041-6021
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 12, 2016
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
NPI 1184070740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in GA · 7958 Licensed in SC · 6009
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1100 NORTHSIDE FORSYTH DR, Cumming, GA 30041

Secondary Practice Location 1

Location 11298 Woodruff RdGreenville, SC 29607-5754 · Phone (864) 263-4700 · Fax (864) 236-4701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Summerford Pa-c 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 ID4385935089
PECOS Enrollment IDI20251023004627
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

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.

Orthopaedic Surgery
1100 NORTHSIDE FORSYTH DR, SUITE 340
CUMMING, GA 30041
Physician Assistant
1100 NORTHSIDE FORSYTH DR, SUITE 240
CUMMING, GA 30041
Specialist/Technologist (Athletic Trainer)
1100 NORTHSIDE FORSYTH DR, SUITE 440
CUMMING, GA 30041
Physician Assistant
1100 NORTHSIDE FORSYTH DR, SUITE 340
CUMMING, GA 30041
Specialist
1100 NORTHSIDE FORSYTH DR, SUITE 310
CUMMING, GA 30041
Registered Nurse (Pediatrics)
1100 NORTHSIDE FORSYTH DR, STE 360
CUMMING, GA 30041
Pediatrics
1100 NORTHSIDE FORSYTH DR, SUITE 360
CUMMING, GA 30041
Internal Medicine (Gastroenterology)
1100 NORTHSIDE FORSYTH DR, SUITE 330
CUMMING, GA 30041

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 Summerford's NPI number?

The NPI number for Jacob Summerford is 1184070740. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Jacob Summerford located?

Jacob Summerford practices at 1100 Northside Forsyth Dr Suite 250, Cumming, GA 30041. The listed phone number is (770) 667-4337.

What is Jacob Summerford's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacob Summerford enrolled in Medicare?

Yes. Jacob Summerford 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.

When was this NPI record last updated?

The NPPES record for Jacob Summerford was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.