Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730323254 Individual Practitioner Male Practitioner

Dr. Jacob Edwards , MD

Pediatrics • Decatur, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Edwards, MD is a registered healthcare professional specializing in Pediatrics in Decatur, GA. Practice services are available at 350 WINN WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

350 Winn Way

Decatur, GA 300302106

Telephone 4045081177
Fax 4045089640
Associated Practice Facility / Clinic
🏢 Dekalb Pediatric Center Facility NPI 1164695458

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Decatur, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
41 Specialists

Practicing in Decatur, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AL MD.31940

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
141478 (AL)
Medicaid State Provider ID
003190111D (GA)
Medicaid State Provider ID
229200 (AL)
Medicaid State Provider ID
021006600 (FL)
Commercial Insurance / Payer ID Bcbs
51222367 (AL)

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1003986985

Doctor of Medicine (M.D.)

NPI 1053481937

Doctor of Medicine (M.D.)

NPI 1063573772

Doctor of Medicine (M.D.)

NPI 1205255742

Doctor of Medicine (M.D.)

NPI 1285644526

Doctor of Medicine (M.D.)

Caroline Zirbel , CPNP

Nurse Practitioner - Pediatrics

NPI 1295489185

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location May 21, 2025

Registered at 350 WINN WAY, DECATUR, GA 300302106 (Tel: 4045081177)

📍
Updated Business Mailing Address May 21, 2025

Registered at 1528 MONARCH DR, MARIETTA, GA 300622748 (Tel: 4042131581)

📍
Updated Practice Location May 15, 2020

Registered at 5565 MONTGOMERY HWY, DOTHAN, AL 363031552 (Tel: 3346993733)

📍
Updated Business Mailing Address May 15, 2020

Registered at 126 CLINIC DR, DOTHAN, AL 363031980 (Tel: 3347931881)

NPI Profile Active March 04, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2013

Registered at 105 EAST WATTS ST, ENTERPRISE, AL 363302511 (Tel: 3343935437)

📍
Updated Business Mailing Address March 04, 2013

Registered at 1414 ELBA HWY, TROY, AL 360796020 (Tel: 3346706726)

👤
Provider Name / Credentials Updated March 04, 2013

Recorded as JACOB EDWARDS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2013

Pediatrics (License #MD.31940 in AL)

🟢
Initial NPI Registration & Enumeration April 28, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730323254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2009
Last Update: May 21, 2025
Sole Proprietor: No

Mailing Address

1528 Monarch Dr

Marietta, GA 300622748

Phone: 4042131581

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.