NPI age
20 years
Enumerated 2006-04-11
● Active
Type 1 · Individual
DR. Jay Howard Polokoff, M.D.
Polokoff is 1 of 68 pediatrics providers in Lawrenceville and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-04-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Practice location
455 Philip Blvd, Suite 130, Kaiser Permanente Lawrenceville Medical Center
Lawrenceville, GA 30046
Mailing address
3495 Piedmont Road, Ne, Nine Piedmont Center
Atlanta, GA 30305
Specialties
-
Pediatrics PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000338511B |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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