JACOBS FAMILY MEDICAL CLINIC
NPI 1740302322
Family Medicine in Dequincy, LA
About Jacobs Family Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOBS FAMILY MEDICAL CLINIC (NPI 1740302322) is a healthcare organization registered as a family medicine in Dequincy, Louisiana and active in the NPI registry since April 2007. The organization lists Eric F Jacobs, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacobs Family Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jacobs Family Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jacobs Family Medical Clinic's NPI number?
The NPI number for Jacobs Family Medical Clinic is 1740302322. It was assigned to this organization in the NPPES registry on April 4, 2007.
Where is Jacobs Family Medical Clinic located?
Jacobs Family Medical Clinic is located at 102 E Fourth St, Dequincy, LA 70633. The listed phone number is (337) 786-3030.
What is Jacobs Family Medical Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jacobs Family Medical Clinic enrolled in Medicare?
Yes. Jacobs Family Medical Clinic is registered in the Medicare PECOS enrollment system.
When is Jacobs Family Medical Clinic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jacobs Family Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jacobs Family Medical Clinic. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jacobs Family Medical Clinic was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jacobs Family Medical Clinic · NPI 1740302322
Family Medicine organization in Dequincy, Louisiana. Organization record, active in the CMS NPPES registry since April 4, 2007.
## Identity
- **NPI:** 1740302322 (Entity type: Organization)
- **Enumerated:** April 4, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Eric Jacobs, PHYSICIAN
## Practice location
- **Address:** 102 E FOURTH ST, Dequincy, LA 70633-3502
- **Phone:** (337) 786-3030 · **Fax:** (337) 786-5066
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2011
- **Other identifiers:** Medicaid 1921718 (LA); Medicare UPIN E96182 (LA); Medicare ID-Type Unspecified 5N642 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1740302322) · Data from the CMS NPPES public registry.