P Praxis·MD
● Active Type 1 · Individual

Jacob Edwards, MD

Pediatrics·Decatur, GA· NPI 1730323254 · Enumerated 2009 · 17 years on NPI
Edwards is 1 of 52 pediatrics providers in Decatur and 1 of 2726 in Georgia.
NPI age
17 years
Enumerated 2009-04-28
Primary specialty
Pediatrics
Licensed in
AL
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-21
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
17 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-04Enumerated in NPPES
2009 2026

Where they practice

Practice location
350 Winn Way
Decatur, GA 300302106
📞 4045081177fax 4045089640
Mailing address
1528 Monarch Dr
Marietta, GA 300622748
📞 4042131581

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...
    AL license #MD.31940 taxonomy 208000000X

Identifiers

TypeValueNotes
01 (AL) 51222367 BCBS
05 (AL) 141478
05 (GA) 003190111D
05 (AL) 229200
05 (FL) 021006600

Practice context

Part of a multi-provider practice. 14 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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