DR. ANILA JACOB (M.D.) – Hospitalist Physician, NPI 1104006873

DR. ANILA JACOB (M.D.) is a healthcare provider. based in Marietta, Georgia. specializing in INTERNAL MEDICINE, HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 52455 (GA). The NPI Number for DR. ANILA JACOB (M.D.) is 1104006873

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANILA JACOB (M.D.)
NPI
1104006873
Phone
(770) 793-7750
Address
677 CHURCH STREET
Enumeration Date
9 November 2007
Last Update Date
5 November 2019

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7704248222
Graduation Year
1996 (30 years ago)
PAC ID
9537147269
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20040709000808
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
ajacob14887@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for DR. ANILA JACOB (M.D.)

  • Church of God, 677, Church Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30061, United States

    WELLSTAR HOSPITALIST OFFICE

    MARIETTA, GA 300602068

    Phone: (770) 793-7750

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040709000808IHospitalistGATBD
I20220214000356IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8127$0
99238Hospital discharge day management, 30 minutes or less2119$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ANILA JACOB (M.D.)?
DR. ANILA JACOB (M.D.) — NPI 1104006873 — is the standard way to identify this listing.
Is DR. ANILA JACOB (M.D.) still practicing?
DR. ANILA JACOB (M.D.) is currently listed as active in the public NPI registry.
What is DR. ANILA JACOB (M.D.)'s specialty?
The listing groups DR. ANILA JACOB (M.D.) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ANILA JACOB (M.D.) on a map?
Expect Marietta, Georgia as a primary anchor for DR. ANILA JACOB (M.D.) unless the record lists multiple sites.
Why does DR. ANILA JACOB (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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