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

Dr. Maryann Kuruvilla Jacob, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1356375315

Dr. Maryann Kuruvilla Jacob, MD is a Child & Adolescent Psychiatry Physician in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia and Michigan.

Licensed in
GA, MI
In the registry since
2006
Specialties on file
2
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

1001 Johnson Ferry Rd
Atlanta, GA 30342-1605
Phone: (404) 785-4982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 058562 (GA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 4301086452 (MI)

Record details

NPI number1356375315
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 10, 2006
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

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