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

Mr. Thomas Jacob, MD

Individual provider Pediatrics Physician · NPI 1215295449

Mr. Thomas Jacob, MD is a Pediatrics Physician in Marietta, Georgia. Practices as a sole proprietor and works from 4 locations. Licensed in California and Georgia.

Licensed in
CA, GA
In the registry since
2012
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

760 Kennesaw Ave NW
Marietta, GA 30060-6909
Phone: (770) 427-0183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 757 Westwood Plz, Los Angeles, CA 90095-7419 — (310) 267-9129
  • 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-7419 — (310) 825-0867
  • 4201 Torrance Blvd Ste 660, Torrance, CA 90503 — (310) 373-4303

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 94597 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 131098 (CA)

Record details

NPI number1215295449
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 25, 2012
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address760 Kennesaw Ave Nw, Marietta, GA 30060-6909

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