DR. COURTNEY JACOBS M.D.
NPI 1558723429
Pediatrics - Pediatric Emergency Medicine in River Ridge, LA

Q: What is Courtney Jacobs's NPI number?

The NPI number for Courtney Jacobs is 1558723429. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Q: What is Courtney Jacobs's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Jacobs was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 22, 2016PECOS Enrolled

864 S CLEARVIEW PKWY, APT 136, RIVER RIDGE, LA 70123(781) 696-2530 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2021, May 19, 2020, Mar 22, 2016 (3 updates tracked since 2016).

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About Dr. Courtney Jacobs M.d. NPPES

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

DR. COURTNEY JACOBS M.D. (NPI 1558723429) is an individual pediatric emergency medicine provider in River Ridge, Louisiana, licensed in Virginia (0101267326) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558723429

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameDR. COURTNEY JACOBSCredential: M.D.

Location Address864 S CLEARVIEW PKWY, APT 136River Ridge, LA 70123-6323

Mailing Address864 S Clearview Pkwy, Apt 136River Ridge, LA 70123-6323 · (781) 696-2530

Phone(781) 696-2530

Sole ProprietorNo

Enumeration DateMarch 22, 2016

Last NPPES UpdateMay 21, 20213 updates tracked since enumeration

NPPES CertifiedMay 21, 2021

✔ NPI 1558723429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in VA · 0101267326

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 0101267326 (VA)

864 S CLEARVIEW PKWY, River Ridge, LA 70123

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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)

Dr. Courtney Jacobs M.d. 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.

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 Courtney Jacobs's NPI number?

The NPI number for Courtney Jacobs is 1558723429. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Courtney Jacobs located?

Courtney Jacobs practices at 864 S Clearview Pkwy Apt 136, River Ridge, LA 70123. The listed phone number is (781) 696-2530.

What is Courtney Jacobs's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Courtney Jacobs enrolled in Medicare?

Yes. Courtney Jacobs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Courtney Jacobs was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.