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LEE DAVID JACOBS MD
NPI 1861568412
Internal Medicine in Douglasville, GA

Active since November 27, 2006PECOS Enrolled
6875 DOUGLAS BLVD STE A, KAISER PERMANENTE DOUGLASVILLE, DOUGLASVILLE, GA 30135(678) 838-2246(770) 431-4350 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2022, Dec 28, 2021 (2 updates tracked since 2021).

About Lee David Jacobs Md NPPES

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

LEE DAVID JACOBS MD (NPI 1861568412) is an individual internal medicine provider in Douglasville, Georgia, licensed in Georgia (028283) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861568412
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLEE DAVID JACOBSCredential: MD
Location Address6875 DOUGLAS BLVD STE A, KAISER PERMANENTE DOUGLASVILLEDouglasville, GA 30135-7155
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7070
Phone(678) 838-2246
Fax(770) 431-4350
Sole ProprietorNo
Enumeration DateNovember 27, 2006
Last NPPES UpdateJanuary 6, 20222 updates tracked since enumeration
✔ NPI 1861568412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 028283
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.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 028283 (GA)
6875 DOUGLAS BLVD STE A, Douglasville, GA 30135
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lee David Jacobs Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Lee Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group
24 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

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 30135 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAXWELL UHAKHEME MD
Internal Medicine
6875 DOUGLAS BLVD STE A, KAISER PERMANENTE DOUGLASVILLE MEDICAL CENTER
DOUGLASVILLE, GA 30135
Douglas County (678) 838-2225

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 Lee Jacobs's NPI number?

The NPI number for Lee Jacobs is 1861568412. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Lee Jacobs located?

Lee Jacobs practices at 6875 Douglas Blvd Ste A Kaiser Permanente Douglasville, Douglasville, GA 30135. The listed phone number is (678) 838-2246.

What is Lee Jacobs's specialty?

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

Is Lee Jacobs enrolled in Medicare?

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

Which organization bills Medicare for Lee Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Jacobs reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The 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 Lee Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lee Jacobs was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.