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

Dr. Jaquelin Smith Gotlieb, MD

Individual provider Pediatrics Physician · NPI 1689672826

Dr. Jaquelin Smith Gotlieb, MD is a Pediatrics Physician in Stone Mountain, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5405 Memorial Dr Bldg D
Stone Mountain, GA 30083-3234
Phone: (404) 296-3800
Fax: (404) 297-8753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 017810 (GA)

Record details

NPI number1689672826
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2005
Last updated in NPPESJuly 13, 2026

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