DR. JACOB BOUDREAUX MD
NPI 1497336838
Student in an Organized Health Care Education/Training Program in Augusta, GA
NPI Status: Active since April 17, 2021
Contact Information
1120 15TH ST # BI2144
AUGUSTA, GA
ZIP 30912
Phone: (706) 910-8827
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About JACOB BOUDREAUX
This page provides the complete NPI Profile along with additional information for Jacob Boudreaux, a primary care provider established in Augusta, Georgia with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1497336838 assigned on April 2021. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1497336838
- Provider Name
- DR. JACOB BOUDREAUX MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1120 15TH ST # BI2144 AUGUSTA, GA 30912
- Location Phone
- (706) 910-8827
- Mailing Address
- 1120 15TH ST # BI2144 AUGUSTA, GA 30912
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-17-2021
- Last Update Date
- 08-19-2022
- Code Navigator
A primary care provider (PCP) like Jacob Boudreaux sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Jacob Boudreaux is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 3 | 3 | 6 | 8 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 6 | 3 | 12 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 6 + 3 + 1 + 2 + 8 + 6 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1497336838 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
ALLYSA CHEESMAN MD
Anesthesiology
1120 15TH ST # BI2144
AUGUSTA, GA
ZIP 30912
IBRAHIM AL MAREI MD
Anesthesiology
1120 15TH ST # BI2144
AUGUSTA, GA
ZIP 30912
DR. AMJAD NAJIM M.D.
Anesthesiology
1120 15TH ST # BI2144
AUGUSTA, GA
ZIP 30912
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497336838, enumerated as an "individual" on April 17, 2021.
The provider is located at 1120 15TH ST # BI2144 AUGUSTA, GA 30912 and the phone number is (706) 910-8827.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
