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

Dr. Jay Howard Polokoff, MD

Individual provider Pediatrics Physician · NPI 1467415281

Dr. Jay Howard Polokoff, MD is a Pediatrics Physician in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

455 Philip Blvd Ste 130 Kaiser Permanente Lawrenceville Medical Center
Lawrenceville, GA 30046
Phone: (678) 985-5006
Fax: (770) 449-9319
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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 026051 (GA)

Record details

NPI number1467415281
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2006
Last updated in NPPESApril 26, 2012
Mailing address3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305

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