P Praxis·MD
● Active Type 1 · Individual

MR. Thomas Jacob, M.D.

Pediatrics·Marietta, GA· NPI 1215295449 · Enumerated 2012 · 14 years on NPI
Jacob is 1 of 86 pediatrics providers in Marietta and 1 of 2726 in Georgia.
NPI age
14 years
Enumerated 2012-04-25
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-07-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-04Enumerated in NPPES
2012 2026

Where they practice

Practice location
760 Kennesaw Ave Nw
Marietta, GA 300606909
📞 7704270183
Mailing address
760 Kennesaw Ave Nw
Marietta, GA 300606909
📞 7704270183

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
4201 Torrance Blvd Ste 660
Torrance, CA 90503
📞 3103734303fax 3103751935
Location 3
757 Westwood Plz, B711 Rrumc
Los Angeles, CA 900957419
📞 3102679129
Location 4
200 Ucla Medical Plz Ste 265
Los Angeles, CA 900957419
📞 3108250867fax 3102065146

Specialties

  • Pediatrics Primary
    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...
    GA license #94597CA license #131098 taxonomy 208000000X

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new pediatrics providers have been added in Marietta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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