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JACOB PACKER
NPI 1235879099
Student in an Organized Health Care Education/Training Program in Savannah, GA

Active since March 30, 2022PECOS Enrolled
1107 E 66TH ST, SAVANNAH, GA 31404(912) 350-8404 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Packer NPPES

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

JACOB PACKER (NPI 1235879099) is an individual student in an organized health care education/training program in Savannah, Georgia and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235879099
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB PACKER
Location Address1107 E 66TH STSavannah, GA 31404-5701
Mailing Address426 State St Fl 1New Orleans, LA 70118-5739 · (480) 257-8543
Phone(912) 350-8404
Sole ProprietorNo
Enumeration DateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1235879099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1107 E 66TH ST, Savannah, GA 31404
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Packer 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.

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.

CINDY ANN GLEIT MD
Family Medicine
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-8404
COASTAL COMMUNITY HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-8408
SAGE HAVRILLA
Student in an Organized Health Care Education/Training Program
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-0491
DR. MARVIN HUBERT SINEATH JR. MD
Family Medicine
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-8404
JILLIAN ELIZABETH GIBLIN MD
Student in an Organized Health Care Education/Training Program
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-8404
DR. CATHLEEN WOOD QUILLIAN D.O.
Family Medicine
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-8404
ERIK CHARLES SHAW DO
Student in an Organized Health Care Education/Training Program
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-8404
WINSTON DANIELS
Student in an Organized Health Care Education/Training Program
1107 E 66TH ST
SAVANNAH, GA 31404
Chatham County (912) 350-0491

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 Packer's NPI number?

The NPI number for Jacob Packer is 1235879099. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Jacob Packer located?

Jacob Packer practices at 1107 E 66th St, Savannah, GA 31404. The listed phone number is (912) 350-8404.

What is Jacob Packer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Packer enrolled in Medicare?

Yes. Jacob Packer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Packer was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.