JACOB WILSON M.D.
NPI 1396192423
Family Medicine in Huntsville, AL

Active since May 18, 2016PECOS EnrolledAccepts Medicare Assignment
333 WHITESPORT DR SW STE 204, HUNTSVILLE, AL 35801(256) 715-5001 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2020, May 18, 2016 (2 updates tracked since 2016).

About Jacob Wilson M.d. NPPES

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

JACOB WILSON M.D. (NPI 1396192423) is an individual family medicine provider in Huntsville, Alabama, licensed in Alabama (36564) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (2016).

NPPES Registry Identity

NPI1396192423
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB WILSONCredential: M.D.
Location Address333 WHITESPORT DR SW STE 204Huntsville, AL 35801-3455
Mailing Address333 Whitesport Dr Sw Ste 204Huntsville, AL 35801-3455 · (256) 715-5001
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2016
Enumeration DateMay 18, 2016
Last NPPES UpdateJuly 1, 20202 updates tracked since enumeration
NPPES CertifiedJuly 1, 2020
✔ NPI 1396192423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 36564
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
333 WHITESPORT DR SW STE 204, Huntsville, AL 35801

Accepted Insurance

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 Wilson M.d. 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 ID1456605773
PECOS Enrollment IDI20181126001040
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 Reassignments

6

Medicare enrollment records show Jacob Wilson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
8151 WHITESBURG DIRVE
Huntsville, AL 35802
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
Urgent Care
202 COX CREEK PKWY
Florence, AL 35630
  • Reassigned Medicare billing, Alabama enrollment
  • 123 clinicians in this Medicare group
Addiction Medicine
48 MEDICAL PARK DR E STE 453
Birmingham, AL 35235
  • Reassigned Medicare billing, Alabama enrollment
  • 8 clinicians in this Medicare group
Hospitalist
1720 KNOWLES RD
Phenix City, AL 36869
  • Reassigned Medicare billing, Alabama enrollment
  • 53 clinicians in this Medicare group
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Alabama enrollment
  • 51 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Alabama enrollment
  • 456 clinicians in this Medicare group

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 35801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Family Medicine
333 WHITESPORT DR SW STE 204
HUNTSVILLE, AL 35801
Family Medicine
333 WHITESPORT DR SW STE 204
HUNTSVILLE, AL 35801
Clinic/Center (Primary Care)
333 WHITESPORT DR SW STE 204
HUNTSVILLE, AL 35801

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 Wilson's NPI number?

The NPI number for Jacob Wilson is 1396192423. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is Jacob Wilson located?

Jacob Wilson practices at 333 Whitesport Dr SW Ste 204, Huntsville, AL 35801. The listed phone number is (256) 715-5001.

What is Jacob Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Wilson enrolled in Medicare?

Yes. Jacob Wilson 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 organizations bill Medicare for Jacob Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Wilson reassigns Medicare benefits to 6 organizations: American Family Care, LLC (Huntsville, AL), Advantage Family Care Inc (Florence, AL), Pathway Healthcare Alabama LLC (Birmingham, AL), Alabama Post-Acute Medical Service 1 PC (Phenix City, AL), Cs Pacs 3 Southeast, LLC (Bluefield, WV) and 1 more organization, listed in the Medicare section above. Each 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 Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Wilson accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Jacob Wilson 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 Jacob Wilson was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.