NPI age
20 years
Enumerated 2005-08-09
● Active
Type 1 · Individual
Clyde Tyrone Jacob III, M.D.
Jacob is 1 of 24 obstetrics & gynecology providers in Johns Creek and 1 of 1893 in Georgia.
Primary specialty
Obstetrics & Gynecology
Plus 5 subspecialties
Licensed in
GA, IN, NY, FL, DE, NJ
6 states
Status
Active
No deactivations on record
Last NPPES update
2023-12-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1893 active obstetrics & gynecology providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
6 states
Top 88% — 11% of peers are multi-state
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Practice location
6325 Hospital Pkwy
Johns Creek, GA 300975775
Mailing address
5950 Cabotage Rd
Duluth, GA 300978475
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3950 Austell Rd
Austell, GA 301061121
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (NY) | 02219496 |
Multi-state credentialing: Licensed in 6 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 70 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1893 Obstetrics & Gynecology 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
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.