JACOB FARRIS
NPI 1609250141
Anesthesiologist Assistant in Atlanta, GA

Q: What is Jacob Farris's NPI number?

The NPI number for Jacob Farris is 1609250141. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Q: What is Jacob Farris's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Farris was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 July 15, 2015Accepts Medicare Assignment

1984 PEACHTREE RD NW, SUITE 515, ATLANTA, GA 30309(404) 351-1745 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacob Farris NPPES

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

JACOB FARRIS (NPI 1609250141) is an individual anesthesiologist assistant in Atlanta, Georgia and active in the NPI registry since July 2015. He is affiliated with Northside Hospital and is a graduate of Emory University School Of Medicine (2015).

NPPES Registry Identity

NPI1609250141

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameJACOB FARRIS

Location Address1984 PEACHTREE RD NW, SUITE 515Atlanta, GA 30309-5219

Mailing Address111 N Marietta Pkwy Ne, Apt B120Marietta, GA 30060-1478 · (678) 549-3947

Phone(404) 351-1745

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2015

Enumeration DateJuly 15, 2015

✔ NPI 1609250141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1984 PEACHTREE RD NW, Atlanta, GA 30309

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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 Farris 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 ID9335458181

PECOS Enrollment IDI20151019002043

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

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.

BESSIE B CHEN MD

Anesthesiology

1984 PEACHTREE RD NW, SUITE 515
ATLANTA, GA 30309

Fulton County (404) 351-1745

DR. JUNE KRISTIN WINFORD M.D.

Radiology (Diagnostic Radiology)

1984 PEACHTREE RD NW, SUITE 505
ATLANTA, GA 30309

Fulton County (404) 352-1409

MS. CHINH THU NGUYEN

Anesthesiologist Assistant

1984 PEACHTREE RD NW, SUITE 515
ATLANTA, GA 30309

Fulton County (404) 351-1745

FAYETTE COMMUNITY ANESTHESIA

Anesthesiology

1984 PEACHTREE RD NW, SUITE 515
ATLANTA, GA 30309

Fulton County (404) 351-1745

JUSTIN J. GIANNINY CRNA

Nurse Anesthetist, Certified Registered

1984 PEACHTREE RD NW, SUITE 515
ATLANTA, GA 30309

Fulton County (404) 863-0545

DEANNA M ANSELMO CRNA

Nurse Anesthetist, Certified Registered

1984 PEACHTREE RD NW, SUITE 515
ATLANTA, GA 30309

Fulton County (404) 351-1745

MR. LAURI PETTERI LINDBERG

Anesthesiologist Assistant

1984 PEACHTREE RD NW, SUITE 515
ATLANTA, GA 30309

Fulton County (404) 351-1745

KIMBERLY KIMBLE RODRIGUEZ CRNA

Nurse Anesthetist, Certified Registered

1984 PEACHTREE RD NW, #515
ATLANTA, GA 30309

Fulton County (404) 351-1745

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 Farris's NPI number?

The NPI number for Jacob Farris is 1609250141. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Where is Jacob Farris located?

Jacob Farris practices at 1984 Peachtree Rd NW Suite 515, Atlanta, GA 30309. The listed phone number is (404) 351-1745.

What is Jacob Farris's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Jacob Farris enrolled in Medicare?

Yes. Jacob Farris 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.

Is Jacob Farris affiliated with any hospitals?

According to CMS data, Jacob Farris is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Farris was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.