Active NPI 1730132556 Individual Practitioner Male Practitioner

Dr. Mina Ayad Jacob , MD, FACC, FSCAI

Surgery - Vascular Surgery • Mobile, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mina Jacob, MD, FACC, FSCAI is a certified Surgery - Vascular Surgery practicing in Mobile, AL. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Jacob delivers high-quality medical care to the local community at 1700 SPRING HILL AVE STE 100.

Dr. Jacob maintains professional affiliations with Imc-Diagnostic And Medical Clinic Llc, Tift Regional Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1700 Spring Hill Ave Ste 100

Mobile, AL 366041416

Telephone 2514351200

Fax 2514356357

Associated Practice Facility / Clinic

🏢 Imc-Diagnostic And Medical Clinic Llc Facility NPI 1447201066

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Mobile, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +10.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

13 Specialists

Practicing in Mobile, AL (65 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jacob (35 Years) 35 Yrs

Mobile Specialty Average (24.5 Years) 24.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	563	152	$150.13	$107.68
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	442	297	$20.00	$15.14
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	271	198	$20.00	$7.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	218	$158.50	$114.48
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	193	187	$387.82	$63.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	181	132	$222.92	$163.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	181	88	$108.04	$72.02
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	158	147	$530.38	$147.41
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	157	144	$40.00	$10.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	136	119	$281.60	$158.45
93000 Routine ekg using at least 12 leads including interpretation and report	114	112	$50.00	$12.58
36415 Insertion of needle into vein for collection of blood sample	91	72	$10.00	$8.65
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	88	86	$933.66	$202.88
J2785 Injection, regadenoson, 0.1 mg	88	22	$63.18	$7.46
93356 Heart muscle strain imaging	72	69	$50.00	$32.42
93308 Ultrasound of heart, follow-up	71	59	$133.34	$22.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	69	69	$305.00	$200.02
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	58	49	$1387.53	$472.52
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	57	57	$50.00	$12.61
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	54	54	$598.15	$196.83
93880 Ultrasound of both sides of head and neck blood flow	52	52	$242.88	$89.55
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	49	46	$21.00	$7.61
93312 Ultrasound of heart with probe in esophagus, with report	48	43	$419.00	$97.39
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	46	23	$475.00	$103.22
80048 Blood test, basic group of blood chemicals (calcium, total)	38	35	$30.00	$8.29
93925 Ultrasound of leg arteries or artery grafts	32	32	$238.28	$136.67
80061 Blood test, lipids (cholesterol and triglycerides)	29	26	$45.00	$13.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	25	$262.54	$124.03
93970 Ultrasound study of arm or leg veins with compression and maneuvers	28	28	$148.57	$75.95
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	27	27	$1300.00	$271.84
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	27	27	$354.07	$120.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	20	$82.19	$47.04
99496 Transitional care management services for problem of high complexity	26	26	$340.00	$252.40
33361 Replacement of aortic valve through the skin and femoral artery	26	26	$2400.00	$644.99
99238 Hospital discharge day management, 30 minutes or less	25	23	$110.00	$72.92
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	21	21	$46.67	$23.28
92972 Shockwave destruction of calcified plaque in coronary artery accessed through skin using catheter	19	18	$140.00	$131.54
80053 Blood test, comprehensive group of blood chemicals	18	18	$40.00	$10.35
83615 Lactate dehydrogenase (enzyme) level	17	17	$12.00	$5.92
82977 Glutamyltransferase (liver enzyme) level	15	15	$13.00	$7.06
82248 Bilirubin level, direct	15	15	$12.00	$4.92
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	15	14	$1145.07	$241.37
92960 External shock to heart to regulate heart beat	15	13	$325.00	$97.44
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	15	15	$185.33	$61.97
82550 Creatine kinase (cardiac enzyme) level, total	14	14	$15.00	$6.38
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	12	12	$82.00	$24.58
37191 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation	11	11	$400.00	$160.93
85379 Coagulation function measurement, d-dimer; quantitative	11	11	$12.00	$9.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	541	346	$20.00	$7.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	470	151	$150.11	$111.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	219	$154.00	$117.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	205	112	$102.79	$73.64
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	190	184	$358.25	$64.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	172	129	$216.97	$164.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	162	146	$281.12	$161.86
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	157	136	$40.00	$11.51
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	145	142	$488.28	$142.21
93000 Routine ekg using at least 12 leads including interpretation and report	136	133	$50.00	$13.21
J2785 Injection, regadenoson, 0.1 mg	104	26	$70.00	$54.72
36415 Insertion of needle into vein for collection of blood sample	91	79	$10.00	$8.40
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	86	81	$915.73	$212.77
93880 Ultrasound of both sides of head and neck blood flow	79	79	$208.48	$71.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	65	65	$301.31	$198.35
93308 Ultrasound of heart, follow-up	65	61	$110.03	$23.19
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	58	58	$674.14	$242.21
93312 Ultrasound of heart with probe in esophagus, with report	57	46	$419.00	$98.69
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	56	28	$229.46	$108.56
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	54	42	$1400.00	$488.24
33361 Replacement of aortic valve through the skin and femoral artery	53	53	$2400.00	$689.87
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	52	48	$21.00	$7.61
99496 Transitional care management services for problem of high complexity	47	44	$340.00	$254.85
93970 Ultrasound study of arm or leg veins with compression and maneuvers	46	44	$130.87	$72.21
80048 Blood test, basic group of blood chemicals (calcium, total)	44	37	$30.00	$8.29
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	44	44	$50.00	$13.20
93925 Ultrasound of leg arteries or artery grafts	34	33	$188.24	$108.06
99238 Hospital discharge day management, 30 minutes or less	34	33	$110.00	$73.62
80061 Blood test, lipids (cholesterol and triglycerides)	31	30	$45.00	$13.12
33340 Repair of left upper heart	26	25	$1200.00	$716.14
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	24	24	$200.00	$56.92
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	23	23	$1300.00	$273.77
80053 Blood test, comprehensive group of blood chemicals	20	20	$40.00	$10.35
82977 Glutamyltransferase (liver enzyme) level	19	19	$13.00	$7.06
83615 Lactate dehydrogenase (enzyme) level	19	19	$12.00	$5.92
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	18	17	$296.67	$103.61
93356 Heart muscle strain imaging	18	18	$50.00	$33.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$78.17	$48.27
33418 Replacement of aortic valve with prosthetic valve accessed through the skin	17	17	$3000.00	$1638.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$245.00	$125.69
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	17	17	$48.24	$25.21
82550 Creatine kinase (cardiac enzyme) level, total	17	16	$15.00	$6.38
82248 Bilirubin level, direct	15	15	$12.00	$4.92
92960 External shock to heart to regulate heart beat	14	12	$325.00	$95.92
37191 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation	14	12	$400.00	$138.85
83735 Magnesium level	13	12	$20.00	$6.57
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	13	13	$250.00	$168.37
71046 X-ray of chest, 2 views	12	12	$46.25	$21.36
83880 Natriuretic peptide (heart and blood vessel protein) level	12	12	$60.00	$38.47
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	12	12	$1100.00	$215.98
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$182.00	$80.66
99291 Critical care, first 30-74 minutes	11	11	$350.00	$201.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	805	175	$150.05	$97.34
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	506	327	$20.00	$7.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	315	233	$151.98	$121.13
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	224	211	$355.75	$67.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	210	138	$207.64	$170.39
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	184	168	$481.52	$147.52
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	155	135	$40.10	$12.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	145	90	$104.66	$68.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	140	117	$282.94	$189.91
J2785 Injection, regadenoson, 0.1 mg	136	34	$70.00	$60.87
93000 Routine ekg using at least 12 leads including interpretation and report	114	105	$50.00	$13.46
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	100	100	$647.00	$245.74
93880 Ultrasound of both sides of head and neck blood flow	95	95	$234.00	$92.82
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	86	43	$200.00	$99.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	84	84	$290.00	$211.48
36415 Insertion of needle into vein for collection of blood sample	81	72	$10.00	$2.96
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	80	73	$915.12	$215.86
93308 Ultrasound of heart, follow-up	62	56	$161.99	$24.31
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	52	52	$50.00	$13.65
93970 Ultrasound study of arm or leg veins with compression and maneuvers	51	45	$156.27	$92.98
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	51	40	$1384.97	$510.10
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	48	46	$21.00	$7.66
93312 Ultrasound of heart with probe in esophagus, with report	46	42	$419.00	$104.08
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	45	45	$200.00	$58.96
80048 Blood test, basic group of blood chemicals (calcium, total)	44	42	$30.23	$8.35
93925 Ultrasound of leg arteries or artery grafts	43	41	$190.12	$114.91
33361 Replacement of aortic valve through the skin and femoral artery	38	38	$2400.00	$734.17
99496 Transitional care management services for problem of high complexity	38	38	$340.00	$262.47
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	38	36	$40.00	$21.00
80061 Blood test, lipids (cholesterol and triglycerides)	29	28	$45.00	$13.20
99238 Hospital discharge day management, 30 minutes or less	27	25	$110.00	$66.13
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	25	24	$271.20	$137.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	17	$78.57	$36.92
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$175.40	$95.50
92960 External shock to heart to regulate heart beat	20	16	$325.00	$102.84
94729 Test to examine how well the lungs exchange gases	20	20	$121.00	$44.86
94727 Determination of lung volumes using gas dilution or washout	20	20	$80.00	$28.70
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	20	20	$1300.00	$335.41
94010 Test to measure expiratory airflow and volume	19	19	$30.00	$16.80
83615 Lactate dehydrogenase (enzyme) level	18	18	$12.00	$5.96
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	18	17	$348.33	$127.17
82550 Creatine kinase (cardiac enzyme) level, total	17	17	$15.00	$6.42
84443 Blood test, thyroid stimulating hormone (TSH)	17	16	$42.00	$16.54
80053 Blood test, comprehensive group of blood chemicals	17	17	$40.00	$10.41
82977 Glutamyltransferase (liver enzyme) level	16	16	$13.00	$7.11
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	16	16	$1135.14	$252.25
82248 Bilirubin level, direct	16	16	$12.00	$4.95
83880 Natriuretic peptide (heart and blood vessel protein) level	16	15	$60.00	$38.64
33340 Repair of left upper heart	16	16	$1200.00	$760.89
71046 X-ray of chest, 2 views	16	13	$45.00	$21.02
83735 Magnesium level	15	15	$20.00	$6.62
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	15	15	$250.00	$174.19
37191 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation	14	13	$400.00	$160.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	541	170	$150.04	$99.67
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	375	276	$20.00	$8.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	214	$150.00	$123.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	227	152	$200.00	$170.58
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	203	186	$475.86	$148.11
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	188	183	$303.83	$69.03
93000 Routine ekg using at least 12 leads including interpretation and report	147	142	$50.00	$13.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	142	87	$106.23	$69.75
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	140	124	$55.00	$11.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	123	112	$280.00	$192.73
J2785 Injection, regadenoson, 0.1 mg	116	29	$70.00	$57.49
93880 Ultrasound of both sides of head and neck blood flow	107	107	$236.36	$96.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	107	107	$290.00	$209.21
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	99	99	$787.88	$247.54
93308 Ultrasound of heart, follow-up	92	67	$82.91	$24.36
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	76	38	$200.00	$97.91
36415 Insertion of needle into vein for collection of blood sample	73	62	$10.00	$3.00
93970 Ultrasound study of arm or leg veins with compression and maneuvers	70	68	$147.14	$85.32
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	65	62	$909.30	$232.26
93312 Ultrasound of heart with probe in esophagus, with report	63	52	$419.00	$105.08
93925 Ultrasound of leg arteries or artery grafts	55	55	$175.00	$107.54
33361 Replacement of aortic valve through the skin and femoral artery	50	50	$2100.00	$743.33
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	49	36	$1368.71	$509.99
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	47	46	$51.91	$28.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	38	37	$21.00	$7.77
99238 Hospital discharge day management, 30 minutes or less	38	35	$107.50	$69.59
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	38	38	$200.00	$57.72
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	35	35	$50.00	$13.99
99496 Transitional care management services for problem of high complexity	33	33	$336.36	$266.42
80048 Blood test, basic group of blood chemicals (calcium, total)	31	30	$40.00	$8.46
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	27	27	$212.59	$92.94
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	26	26	$1300.00	$326.23
94729 Test to examine how well the lungs exchange gases	25	25	$121.00	$45.78
94727 Determination of lung volumes using gas dilution or washout	25	25	$80.00	$28.97
94010 Test to measure expiratory airflow and volume	25	25	$30.00	$19.31
92960 External shock to heart to regulate heart beat	23	19	$325.00	$106.42
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	23	23	$332.61	$129.26
33418 Replacement of aortic valve with prosthetic valve accessed through the skin	22	22	$2727.27	$1387.76
80061 Blood test, lipids (cholesterol and triglycerides)	20	20	$45.00	$13.39
33340 Repair of left upper heart	20	19	$1200.00	$752.30
75716 Review by radiologist of both arms or legs arteries image	16	15	$113.00	$92.98
80053 Blood test, comprehensive group of blood chemicals	14	14	$40.36	$10.56
83880 Natriuretic peptide (heart and blood vessel protein) level	14	13	$60.00	$39.26
82550 Creatine kinase (cardiac enzyme) level, total	13	13	$15.00	$6.51
37191 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation	12	12	$400.00	$164.29
82248 Bilirubin level, direct	12	12	$12.00	$5.02
83615 Lactate dehydrogenase (enzyme) level	12	12	$12.00	$6.04
82977 Glutamyltransferase (liver enzyme) level	11	11	$13.00	$7.20
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$177.00	$98.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	476	135	$150.86	$102.46
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	426	271	$20.00	$8.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	300	146	$109.42	$71.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	230	176	$150.00	$103.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	212	137	$200.00	$140.03
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	205	200	$500.38	$73.13
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	167	143	$55.00	$11.88
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	143	134	$468.53	$151.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	129	114	$284.33	$198.41
93000 Routine ekg using at least 12 leads including interpretation and report	120	110	$50.00	$15.87
93308 Ultrasound of heart, follow-up	105	71	$120.22	$25.63
93880 Ultrasound of both sides of head and neck blood flow	100	99	$238.20	$98.06
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	100	100	$616.00	$171.30
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	94	88	$925.73	$230.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	90	90	$290.00	$196.48
93970 Ultrasound study of arm or leg veins with compression and maneuvers	69	63	$151.16	$89.99
85610 Blood test, clotting time	67	11	$11.00	$4.26
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	64	44	$1376.05	$514.60
93925 Ultrasound of leg arteries or artery grafts	64	64	$150.47	$90.02
99224 Subsequent observation care, typically 15 minutes per day	54	44	$55.61	$38.39
93312 Ultrasound of heart with probe in esophagus, with report	51	44	$419.09	$109.43
99442 Telephone medical discussion with physician, 11-20 minutes	50	47	$68.80	$64.55
33361 Replacement of aortic valve through the skin and femoral artery	49	49	$1800.00	$746.10
J2785 Injection, regadenoson, 0.1 mg	44	11	$70.00	$58.91
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	43	43	$59.53	$30.96
36415 Insertion of needle into vein for collection of blood sample	42	37	$10.00	$2.98
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	40	20	$200.00	$100.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$209.69	$135.32
99238 Hospital discharge day management, 30 minutes or less	34	34	$109.26	$71.26
36600 Artery puncture collection of blood sample	30	28	$113.33	$28.35
94010 Test to measure expiratory airflow and volume	28	28	$30.00	$24.50
94729 Test to examine how well the lungs exchange gases	28	28	$121.00	$42.90
94727 Determination of lung volumes using gas dilution or washout	28	28	$80.00	$28.36
75716 Review by radiologist of both arms or legs arteries image	28	24	$113.00	$93.45
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$177.00	$101.56
82803 Blood gases measurement	25	25	$30.00	$25.84
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	23	23	$50.00	$13.59
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	21	21	$200.00	$60.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	17	$70.75	$38.92
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	19	19	$230.53	$98.82
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	18	17	$21.00	$7.73
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	17	17	$1300.00	$297.97
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	17	16	$345.29	$126.64
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	15	12	$1137.48	$253.83
80048 Blood test, basic group of blood chemicals (calcium, total)	13	13	$40.00	$8.41
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	13	12	$100.00	$72.25
92960 External shock to heart to regulate heart beat	13	13	$325.00	$108.55
80053 Blood test, comprehensive group of blood chemicals	13	12	$45.00	$10.46
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	13	13	$99.00	$85.07
99496 Transitional care management services for problem of high complexity	13	13	$320.00	$233.20
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	11	11	$400.00	$221.05
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$105.00	$67.83
80061 Blood test, lipids (cholesterol and triglycerides)	11	11	$45.00	$13.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	484	184	$150.13	$98.33
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	394	249	$20.00	$8.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	380	189	$109.53	$69.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	284	153	$200.00	$135.39
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	232	229	$621.87	$71.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	147	$150.00	$100.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	132	122	$280.00	$191.05
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	132	124	$490.91	$149.59
93880 Ultrasound of both sides of head and neck blood flow	131	131	$222.14	$86.13
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	128	118	$55.00	$11.36
J2785 Injection, regadenoson, 0.1 mg	124	31	$70.00	$57.62
93308 Ultrasound of heart, follow-up	105	69	$110.37	$24.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	98	98	$290.00	$189.55
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	74	72	$1058.08	$216.88
93312 Ultrasound of heart with probe in esophagus, with report	69	59	$419.00	$105.39
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	66	33	$200.00	$98.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	60	$212.34	$131.23
36415 Insertion of needle into vein for collection of blood sample	55	44	$10.00	$2.94
93925 Ultrasound of leg arteries or artery grafts	53	53	$161.32	$93.58
93970 Ultrasound study of arm or leg veins with compression and maneuvers	50	49	$150.00	$83.91
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	49	40	$1368.71	$479.91
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	48	47	$48.75	$26.42
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	48	48	$991.67	$342.86
99238 Hospital discharge day management, 30 minutes or less	46	41	$105.00	$68.74
33361 Replacement of aortic valve through the skin and femoral artery	44	44	$1800.00	$788.54
93000 Routine ekg using at least 12 leads including interpretation and report	37	36	$50.00	$15.29
80048 Blood test, basic group of blood chemicals (calcium, total)	35	29	$40.00	$9.21
82803 Blood gases measurement	34	34	$30.00	$25.55
36600 Artery puncture collection of blood sample	34	34	$60.00	$28.28
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	33	33	$200.00	$58.26
99224 Subsequent observation care, typically 15 minutes per day	32	29	$55.34	$37.53
94729 Test to examine how well the lungs exchange gases	28	28	$121.00	$40.89
94727 Determination of lung volumes using gas dilution or washout	28	28	$80.00	$27.63
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	28	28	$1300.00	$285.62
99496 Transitional care management services for problem of high complexity	26	26	$320.00	$214.86
75716 Review by radiologist of both arms or legs arteries image	23	19	$113.00	$91.03
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	22	21	$21.00	$8.46
94010 Test to measure expiratory airflow and volume	22	22	$30.00	$23.84
99239 Hospital discharge day management, more than 30 minutes	21	20	$150.00	$101.04
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$181.59	$99.85
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	16	16	$341.88	$128.57
99217 Hospital observation care on day of discharge	16	15	$100.00	$68.79
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	16	16	$198.75	$79.49
83880 Natriuretic peptide (heart and blood vessel protein) level	15	14	$60.00	$38.47
92960 External shock to heart to regulate heart beat	15	15	$325.00	$104.07
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	13	12	$1143.25	$219.46
33418 Replacement of aortic valve with prosthetic valve accessed through the skin	13	13	$2500.00	$1096.21
99495 Transitional care management services for problem of at least moderate complexity	12	11	$220.00	$152.21
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	12	12	$358.33	$191.42
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	11	11	$828.00	$293.59
33340 Repair of left upper heart	11	11	$1200.00	$708.79
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	11	11	$50.00	$14.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	362	195	$93.67	$68.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	205	112	$143.63	$100.10
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	192	122	$20.00	$8.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	131	67	$133.37	$99.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	116	113	$259.51	$190.60
93880 Ultrasound of both sides of head and neck blood flow	112	112	$191.25	$66.67
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	104	104	$497.63	$71.06
J2785 Injection, regadenoson, 0.1 mg	92	23	$70.00	$55.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	91	63	$194.00	$135.37
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	82	78	$551.22	$167.75
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	74	37	$200.00	$73.53
93000 Routine ekg using at least 12 leads including interpretation and report	66	65	$50.00	$15.35
93970 Ultrasound study of arm or leg veins with compression and maneuvers	64	63	$95.00	$49.86
93308 Ultrasound of heart, follow-up	54	37	$87.88	$24.83
93312 Ultrasound of heart with probe in esophagus, with report	53	48	$415.15	$105.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$220.00	$153.38
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	50	48	$900.00	$228.52
36415 Insertion of needle into vein for collection of blood sample	48	40	$10.00	$2.94
93925 Ultrasound of leg arteries or artery grafts	47	47	$121.28	$66.31
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	44	44	$46.36	$25.38
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	36	36	$1188.89	$440.89
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose	34	17	$10.00	$8.97
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	34	32	$55.00	$11.90
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	32	32	$200.00	$57.69
80048 Blood test, basic group of blood chemicals (calcium, total)	32	27	$40.00	$10.23
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	31	25	$1400.00	$488.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$276.00	$192.89
99217 Hospital observation care on day of discharge	27	24	$92.00	$68.98
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$97.08	$67.86
99238 Hospital discharge day management, 30 minutes or less	26	25	$95.00	$68.98
94729 Test to examine how well the lungs exchange gases	19	19	$121.00	$40.53
94727 Determination of lung volumes using gas dilution or washout	19	19	$80.00	$28.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$185.43	$131.91
94010 Test to measure expiratory airflow and volume	18	18	$30.00	$24.45
33361 Replacement of aortic valve through the skin and femoral artery	18	18	$1800.00	$787.80
82803 Blood gases measurement	17	17	$30.00	$25.55
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	17	15	$21.00	$9.40
36600 Artery puncture collection of blood sample	17	17	$60.00	$30.14
92960 External shock to heart to regulate heart beat	14	12	$325.00	$104.94
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	14	14	$186.43	$69.58
99496 Transitional care management services for problem of high complexity	13	13	$300.77	$216.19
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	13	13	$1300.00	$298.99
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	13	13	$380.77	$202.14
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	12	12	$254.00	$74.57
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	12	12	$100.00	$89.41
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	11	11	$99.00	$81.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	188	112	$102.34	$66.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	138	74	$194.62	$100.41
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	128	127	$804.51	$60.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	105	$189.06	$99.63
93880 Ultrasound of both sides of head and neck blood flow	116	116	$411.55	$160.58
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	79	28	$30.00	$10.28
99213 Established patient office or other outpatient visit, typically 15 minutes	65	61	$140.37	$67.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	58	$239.58	$128.53
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	58	55	$870.28	$263.14
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	56	56	$55.59	$23.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	51	$321.80	$181.44
93925 Ultrasound of leg arteries or artery grafts	48	48	$314.15	$201.53
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	46	36	$1500.77	$532.93
93280 Programming of dual lead pacemaker system	41	39	$104.00	$37.41
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	35	33	$125.00	$48.13
93000 Routine ekg using at least 12 leads including interpretation and report	33	33	$47.82	$15.74
93295 Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days	30	30	$120.33	$65.02
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	28	28	$72.71	$32.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$254.78	$145.04
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	26	26	$438.27	$135.91
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	21	$20.00	$7.35
93970 Ultrasound study of arm or leg veins with compression and maneuvers	23	23	$209.30	$97.55
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	19	19	$684.32	$167.41
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	18	17	$79.44	$39.85
93308 Ultrasound of heart, follow-up	17	13	$181.03	$23.51
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	17	17	$2718.00	$930.97
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	17	15	$110.88	$12.10
93299 Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days	16	13	$80.00	$32.16
93298 Evaluation of cardiac rhythm monitor system, remote up to 30 days	16	13	$60.00	$26.20
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	16	16	$397.50	$196.92
93284 Programming of multiple lead implantable defibrillator system	15	13	$200.00	$63.13
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	14	13	$196.36	$62.92
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	14	13	$931.20	$298.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$232.50	$122.49
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	14	14	$41.50	$13.18
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	13	13	$187.75	$93.76
76937 Ultrasonic guidance for blood vessel access	13	13	$78.00	$29.85
36200 Insertion of catheter into aorta	12	11	$380.00	$73.99
93312 Ultrasound of heart with probe in esophagus, with report	12	12	$313.67	$104.18
93283 Programming of dual lead implantable defibrillator system	12	12	$150.00	$56.41
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	11	11	$231.65	$62.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$176.27	$98.80

Medical Specialties & State Licenses

CMS Verified: 2021-02-18

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License AL 31294

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Internal Medicine - Adult Congenital Heart Disease

NUCC Taxonomy Code: 207RA0002X

State License AL 31294

A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.

Internal Medicine - Cardiovascular Disease

NUCC Taxonomy Code: 207RC0000X

State License AL 31294

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Internal Medicine - Interventional Cardiology

NUCC Taxonomy Code: 207RI0011X

State License AL 31294

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000946844P (GA)

Medicaid State Provider ID

000946844X (GA)

Medicaid State Provider ID

000946844 (GA)

Medicaid State Provider ID

000946844K (GA)

Medicaid State Provider ID

000946844L (GA)

Medicaid State Provider ID

000946844Q (GA)

Medicaid State Provider ID

000946844R (GA)

Medicaid State Provider ID

00946844A (GA)

Medicaid State Provider ID

000946844O (GA)

Medicaid State Provider ID

167695 (AL)

Hospital & Practice Group Affiliations

Imc-Diagnostic And Medical Clinic Llc

831 C Hillcrest Rd, Mobile, AL 366953909

Phone: 2516664949

Imc-Diagnostic And Medical Clinic Llc

1700 Springhill Ave, Mobile, AL 366041416

Phone: 2514351200

Tift Regional Health System Inc

901 18th St E, Tifton, GA 317943648

Phone: 2293827120

Imc-Diagnostic And Medical Clinic Llc

5 Mobile Infirmary Cir, Mobile, AL 366073513

Phone: 2514356590

Imc-Diagnostic And Medical Clinic Llc

1700 Spring Hill Ave, Mobile, AL 366041416

Imc-Diagnostic And Medical Clinic Llc

95 Shell Rd, Saraland, AL 365712202

Phone: 2516754733

Imc-Diagnostic And Medical Clinic Llc

1700 Springhill Ave, Mobile, AL 366041416

Phone: 2514351200

Imc-Diagnostic And Medical Clinic Llc

2000 Mcmillan Ave, Bay Minette, AL 365074134

Phone: 2514351200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Damian Collins , MD

Internal Medicine

NPI 1003802885

Doctor of Medicine (M.D.)

Dr. Carmen Lopez , MD

Internal Medicine - Gastroenterology

NPI 1023549839

Doctor of Medicine (M.D.)

Brandy Cornelius , ANRN, FNP-C

Nurse Practitioner

NPI 1073013389

ANRN, Family Nurse Practitioner (Certified)

Dr. John Yager , MD

Psychiatry & Neurology - Neurology

NPI 1083664056

Doctor of Medicine (M.D.)

Dr. Samuel Hooks , MD

Internal Medicine - Gastroenterology

NPI 1083669535

Doctor of Medicine (M.D.)

Lawanda Fantroy

Nurse Practitioner - Acute Care

NPI 1093272874

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Business Mailing Address February 18, 2021

Registered at 1700 SPRING HILL AVE STE 100, MOBILE, AL 366041416 (Tel: 2514351200)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2021

Internal Medicine (License #31294 in AL)

📍

Updated Practice Location December 14, 2018

Registered at 1700 SPRING HILL AVE STE 100, MOBILE, AL 366041416 (Tel: 2514351200)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2018

Internal Medicine (License #31294 in AL)

✅

NPI Profile Active May 12, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 12, 2017

Registered at 3901 UNIVERSITY BLVD S, SUITE 221, JACKSONVILLE, FL 322164392 (Tel: 9044230010)

📍

Updated Business Mailing Address May 12, 2017

Registered at 3901 UNIVERSITY BLVD S, SUITE 221, JACKSONVILLE, FL 322164392 (Tel: 9044230010)

👤

Provider Name / Credentials Updated May 12, 2017

Recorded as MINA JACOB, M.D.,FACC,FSCAI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2017

Internal Medicine (License #ME121776 in FL)

✅

NPI Profile Active July 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 27, 2015

Registered at 2300 MANCHESTER EXPY, SUITE 2001, COLUMBUS, GA 319046802 (Tel: 7063235552)

📍

Updated Business Mailing Address July 27, 2015

Registered at PO BOX 9006, COLUMBUS, GA 319089006 (Tel: 7063235552)

👤

Provider Name / Credentials Updated July 27, 2015

Recorded as MINA JACOB, M.D.,FACC,FSCAI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2015

Internal Medicine (License #31294 in AL)

🟢

Initial NPI Registration & Enumeration May 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1730132556

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 19, 2006

Last Update: February 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1700 Spring Hill Ave Ste 100

Mobile, AL 366041416

Phone: 2514351200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.