P Praxis·MD
● Active Type 1 · Individual

DR. Maryann Kuruvilla Jacob, M.D.

Psychiatry & Neurology·Atlanta, GA· NPI 1356375315 · Enumerated 2006 · 19 years on NPI
Jacob is 1 of 61 psychiatry & neurology providers in Atlanta and 1 of 196 in Georgia.
NPI age
19 years
Enumerated 2006-07-10
Primary specialty
Psychiatry & Neurology
Plus 1 subspecialty
Licensed in
GA, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-12-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 196 active psychiatry & neurology providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
55% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
1001 Johnson Ferry Rd
Atlanta, GA 303421605
📞 4047854982
Mailing address
1401 Arnold Ave Ne
Atlanta, GA 303244621
📞 6786620288

Specialties

  • Psychiatry & Neurology Primary
    Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
    GA license #058562MI license #4301086452 taxonomy 2084P0804X

Practice context

Part of a multi-provider practice. 77 other active providers share this practice address in NPPES.

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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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