JACOB LEE ARNOLD (M.D.) – Emergency Medicine Physician, NPI 1619325842
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JACOB LEE ARNOLD (M.D.)
1061 HARMON AVE
FORT STEWART, GA 313145641
Phone: (912) 435-6965
Type: Location
5462 WHITTLESEY BLVD APT 221
COLUMBUS, GA 319092193
Phone: (417) 569-3211
Type: Mailing
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Phone: (417) 569-3211
Type: Location
36000 Darnall Loop
ATT: Residency Center
Fort Hood, TX 765445095
Phone: (254) 553-4614
Type: Location
6600 Van Aalst Blvd
Fort Benning, GA 31905
Phone: (417) 569-3211
Type: Location
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
Phone: (210) 539-9582
Type: Location
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 782344504
Phone: (210) 539-9582
Type: Location
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: 2019-12-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191230001377 | I | Emergency Medicine | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31314)
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