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

Jacob Jones, SPECIALISTSCHPSYCH

Individual provider Specialist · NPI 1154756625

Jacob Jones, SPECIALISTSCHPSYCH is a Specialist in Tucker, Georgia. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013

Practice location Address checks out

1979 Lakeside Pkwy Ste 800
Tucker, GA 30084-5856
Phone: (800) 849-5502
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence SP0000000833225 (MI)

Record details

NPI number1154756625
Entity typeIndividual (Type 1)
GenderMale
Credentials SPECIALISTSCHPSYCH
Sole proprietorNo
NPI enumeratedSeptember 3, 2013
Last updated in NPPESSeptember 3, 2013

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