JACOB MANALOOR ABRAHAM (DO) – Family Medicine Physician, NPI 1528588142

JACOB MANALOOR ABRAHAM (DO) is a healthcare provider. based in Jesup, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5101023560 (MI). The NPI Number for JACOB MANALOOR ABRAHAM (DO) is 1528588142

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JACOB MANALOOR ABRAHAM (DO)
NPI
1528588142
Phone
(912) 559-2337
Address
125 Memorial Dr Ste A
Enumeration Date
24 June 2017
Last Update Date
6 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9124277790
Graduation Year
2017 (9 years ago)
PAC ID
1850639410
Group Practice PAC ID
5496901811
Professional Enrollment ID
I20200730000553
Address ID
GA315450124JE125XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for JACOB MANALOOR ABRAHAM (DO)

  • 125 Memorial Dr Ste A

    Jesup, GA 315450134

    Phone: (912) 559-2337

    Type: Location

  • Douglas, 9, Kerepesi út, Kerepesdűlő, 8th district, Budapest, Central Hungary, 1087, Hungary

    DOUGLAS, GA 315341377

    Phone: (912) 384-1477

    Fax: (912) 384-1470

    Type: Mailing

  • Doctors Drive, Douglas, Coffee County, Georgia, 31534, United States

    DOUGLAS, GA 315332202

    Phone: (912) 384-4024

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $2,598.

Total Amount is formed as General ($2,598) + Research ($0) + Ownership ($0) = $2,598.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Abbott Laboratories ($1,250).

Total Amount

$2,598

General + Research + Ownership

Payments

50

Total payment records

General Amount

$2,598

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-07-30

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
I20190206003437IGeneral PracticeWVTBD
I20200730000553IFamily PracticeGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes13042$0
99213Established patient office or other outpatient visit, 20-29 minutes11346$0
83036Hemoglobin a1c level2618$0
90686Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage1312$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use1313$0
View full utilization report →

Insurance plans in this area (ZIP 31545)

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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: 5496901811View full group profile
NameSpecialtyState
-GA
Nurse PractitionerAZ
Nurse PractitionerGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Internal MedicineFL
Cardiovascular Disease (Cardiology)GA
Nurse PractitionerGA
O T O L A R Y N G O L O G YTN
Gastroenterology, Internal MedicineGA

Reviews

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Frequently asked questions

Can I verify JACOB MANALOOR ABRAHAM (DO) with an NPI only?
You can start verification with NPI 1528588142 for JACOB MANALOOR ABRAHAM (DO), then check state licensing separately.
Can I rely on JACOB MANALOOR ABRAHAM (DO) being an active provider?
As of the registry snapshot, JACOB MANALOOR ABRAHAM (DO) is marked active.
What taxonomy line describes JACOB MANALOOR ABRAHAM (DO)?
For research purposes, treat JACOB MANALOOR ABRAHAM (DO) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JACOB MANALOOR ABRAHAM (DO)?
JACOB MANALOOR ABRAHAM (DO)'s geographic hint is Jesup, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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