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

Jacob Harris Levy

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1811526627

Jacob Harris Levy is a Pediatric Medicine in Atlanta, Georgia. Qualified in 2020, 6 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

49 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3049
Phone: (404) 778-1440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1919 E Thomas Rd, Phoenix, AZ 85016-7710 — (602) 933-1900

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence 010267 (AZ)

Record details

NPI number1811526627
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 3, 2020
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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