Richard Keith Jacob Jr., MD
NPI 1316061179ActiveIndividual· Surgery· Monroe, GA
Surgery (MD) in Monroe, Georgia, trained at Texas Tech University Health Science Center School of Medicine (class of 2005). Enrolled in Medicare as practitioner - general surgery and practitioner - general surgery.
Overview
| NPI | 1316061179 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 19, 2007 |
| Last updated in NPPES | Mar 19, 2025 |
| Certified by provider | Mar 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 58881 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (GA); Practitioner - General Surgery (NC) |
|---|
Education and affiliations
| Medical school | Texas Tech University Health Science Center School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | General Surgery |
Medical group
- Piedmont Providers LLCAtlanta, GA · 530 clinicians
Hospital affiliation
- Piedmont Walton HospitalMonroe, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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