P Praxis·MD
● Active Type 1 · Individual

DR. Stephen Chacko Jacob, M.D.

Preventive Medicine·Marietta, GA· NPI 1700828795 · Enumerated 2006 · 19 years on NPI
Jacob is 1 of 4 preventive medicine providers in Marietta and 1 of 82 in Georgia.
NPI age
19 years
Enumerated 2006-06-12
Primary specialty
Preventive Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 82 active preventive medicine providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
3535 Roswell Rd Ste 40
Marietta, GA 300628830
📞 6782245334
Mailing address
3535 Roswell Rd Ste 40
Marietta, GA 300628830
📞 6782245334

Specialties

  • Preventive Medicine Primary
    Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures....
    GA license #041142 taxonomy 2083X0100X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 82 Preventive Medicine providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related