Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB KELVIN SIMMONS MD
NPI 1740971142
Internal Medicine in Laurel, MS

Active since May 16, 2023PECOS EnrolledAccepts Medicare Assignment
1220 JEFFERSON ST, LAUREL, MS 39440(601) 649-2863(601) 649-9479 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2026, Jul 29, 2026, May 16, 2023 (3 updates tracked since 2023).

About Jacob Kelvin Simmons Md NPPES

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

JACOB KELVIN SIMMONS MD (NPI 1740971142) is an individual internal medicine provider in Laurel, Mississippi, licensed in Mississippi (37699) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Mississippi School Of Medicine (2023).

NPPES Registry Identity

NPI1740971142
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJACOB KELVIN SIMMONSCredential: MD
Location Address1220 JEFFERSON STLaurel, MS 39440-4355
Mailing AddressPo Box 247Laurel, MS 39441-0247 · (601) 399-6169 · Fax (601) 399-6281
Fax(601) 649-9479
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2023
Enumeration DateMay 16, 2023
Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1740971142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 37699
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1220 JEFFERSON ST, Laurel, MS 39440

Secondary Practice Locations 3

Location 11203 Jefferson StLaurel, MS 39440-4354 · Phone (601) 649-2863 · Fax (601) 649-9479
Location 21515 Jefferson StLaurel, MS 39440-4244 · Phone (601) 426-3421
Location 34800 E Johnson AveJonesboro, AR 72405-8413 · Phone (870) 936-8000

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 Kelvin Simmons Md 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 ID7012418510
PECOS Enrollment IDI20250827003080
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

2

Medicare enrollment records show Jacob Simmons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1220 JEFFERSON ST
Laurel, MS 39440
  • Reassigned Medicare billing, Mississippi enrollment
  • 205 clinicians in this Medicare group
Urgent Care
3001 APACHE DR STE B
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 439 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 39440 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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.

Radiology (Diagnostic Radiology)
1220 JEFFERSON ST
LAUREL, MS 39440
Nurse Practitioner (Acute Care)
1220 JEFFERSON ST
LAUREL, MS 39440
Physical Therapist
1220 JEFFERSON ST
LAUREL, MS 39440
Physical Therapist
1220 JEFFERSON ST
LAUREL, MS 39440
Clinic/Center
1220 JEFFERSON ST
LAUREL, MS 39440
Family Medicine
1220 JEFFERSON ST
LAUREL, MS 39440
Physical Therapist
1220 JEFFERSON ST
LAUREL, MS 39440
Family Medicine
1220 JEFFERSON ST
LAUREL, MS 39440

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 Simmons's NPI number?

The NPI number for Jacob Simmons is 1740971142. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Where is Jacob Simmons located?

Jacob Simmons practices at 1220 Jefferson St, Laurel, MS 39440. The listed phone number is (601) 649-2863.

What is Jacob Simmons's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jacob Simmons enrolled in Medicare?

Yes. Jacob Simmons 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 Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Simmons reassigns Medicare benefits to 2 organizations: South Central Clinics, Inc. (Laurel, MS) and Northeast Arkansas Clinic Charitable Foundation, Inc (Jonesboro, AR). 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 Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Simmons accept?

Health plans from Cigna Healthcare list Jacob Simmons 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 Simmons was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.