Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Eichenberger, MD

Individual provider Pediatrics Physician · NPI 1902192966

Dr. Jacob Eichenberger, MD is a Pediatric Medicine in Augusta, Georgia. Graduated from Indiana University School of Medicine in 2011, 15 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia and Tennessee.

Years since qualifying
15
Trained at
Indiana University School of Medicine
Licensed in
GA, TN
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 724-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 074002 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 5030 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence MD51295 (TN)

Record details

NPI number1902192966
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2011
Last updated in NPPESNovember 17, 2015
Mailing address1499 Walton Way, Suite 1400, Augusta, GA 30901-2602

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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