Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215295449 Individual Practitioner Male Practitioner

Dr. Thomas Jacob , MD

Pediatrics • Marietta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Jacob, MD is a registered healthcare professional specializing in Pediatrics in Marietta, GA. Practice services are available at 760 KENNESAW AVE NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

760 Kennesaw Ave Nw

Marietta, GA 300606909

Telephone 7704270183
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Marietta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
73 Specialists

Practicing in Marietta, GA (2326 Statewide)

Telehealth Adoption Rate
1.4% 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: 2023-07-12
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 94597

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CA 131098

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.

Secondary Practice Locations

4201 Torrance Blvd Ste 660

Torrance, CA 90503

Phone: 3103734303

200 Ucla Medical Plz Ste 265

Los Angeles, CA 900957419

Phone: 3108250867

757 Westwood Plz, B711 Rrumc

Los Angeles, CA 900957419

Phone: 3102679129

Practice Associates & Co-Workers

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

14 Associated Practitioners
NPI 1164268884

Doctor of Psychology (Psy.D.)

NPI 1194715243

Doctor of Medicine (M.D.)

NPI 1245492230

Doctor of Medicine (M.D.)

NPI 1326064007

Doctor of Medicine (M.D.)

NPI 1386634434

Doctor of Medicine (M.D.)

NPI 1386635324

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 12, 2023

Registered at 760 KENNESAW AVE NW, MARIETTA, GA 300606909 (Tel: 7704270183)

📍
Updated Business Mailing Address July 12, 2023

Registered at 760 KENNESAW AVE NW, MARIETTA, GA 300606909 (Tel: 7704270183)

📍
Updated Practice Location September 12, 2019

Registered at 4201 TORRANCE BLVD STE 660, TORRANCE, CA 90503 (Tel: 3103734303)

📍
Updated Business Mailing Address September 12, 2019

Registered at 5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 900455631

NPI Profile Active August 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2015

Registered at 757 WESTWOOD PLZ, B711 RRUMC, LOS ANGELES, CA 900957419 (Tel: 3102679129)

📍
Updated Business Mailing Address August 11, 2015

Registered at 757 WESTWOOD PLZ, B711 RRUMC, LOS ANGELES, CA 900957419 (Tel: 3102679129)

👤
Provider Name / Credentials Updated August 11, 2015

Recorded as THOMAS JACOB, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2015

Pediatrics (License #131098 in CA)

🟢
Initial NPI Registration & Enumeration April 25, 2012

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: 1215295449
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2012
Last Update: July 12, 2023
Sole Proprietor: Yes

Mailing Address

760 Kennesaw Ave Nw

Marietta, GA 300606909

Phone: 7704270183

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.