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JACOB MATHEW
NPI 1255982039
Physician Assistant in Gainesville, GA

Active since September 24, 2019PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
1250 JESSE JEWELL PKWY SE STE 300, GAINESVILLE, GA 30501(770) 532-0800 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2025, May 23, 2023, Sep 24, 2019 (3 updates tracked since 2019).

About Jacob Mathew NPPES

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

JACOB MATHEW (NPI 1255982039) is an individual physician assistant in Gainesville, Georgia, licensed in Georgia (11248) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255982039
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB MATHEW
Location Address1250 JESSE JEWELL PKWY SE STE 300Gainesville, GA 30501-3865
Mailing Address295 Lumpkin View DrCleveland, GA 30528-5561
Phone(770) 532-0800
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 24, 2019
Last NPPES UpdateNovember 12, 20253 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1255982039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 11248
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.
1250 JESSE JEWELL PKWY SE STE 300, Gainesville, GA 30501
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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 and accepts Medicare assignment

Jacob Mathew 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 ID1153757570
PECOS Enrollment IDI20251124004036
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 30501 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

MRS. SHEENA GRIFFIN DOWNEY NP-C
Nurse Practitioner (Family)
1250 JESSE JEWELL PKWY SE STE 300
GAINESVILLE, GA 30501
Hall County (770) 532-0800
DR. AYHAM Y HADDAD MD
Internal Medicine
1250 JESSE JEWELL PKWY SE STE 300
GAINESVILLE, GA 30501
Hall County (770) 532-0800

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 Mathew's NPI number?

The NPI number for Jacob Mathew is 1255982039. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Jacob Mathew located?

Jacob Mathew practices at 1250 Jesse Jewell Pkwy SE Ste 300, Gainesville, GA 30501. The listed phone number is (770) 532-0800.

What is Jacob Mathew's specialty?

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

Is Jacob Mathew enrolled in Medicare?

Yes. Jacob Mathew 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 Mathew was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.