DR. WILLIAM CARLISLE JACOBS (NPI# 1174528384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174528384 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM CARLISLE JACOBS |
| Other Name | DR. W. CARL JACOBS |
| Credential | MD |
| Practice Address |
5669 Peachtree Dunwoody Rd Ne Suite 315 Atlanta GA 30342-1786 |
| Practice Telephone | 4042506400 |
| Practice Fax Number | 4042506405 |
| Mailing Telephone | 4042506400 |
| Mailing Fax Number | 4042506405 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2009-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
018679 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000234594R | 05 | |
| GA | 000234594X | 05 | |
| GA | 000234594U | 05 | |
| GA | 000234594Q | 05 | |
| GA | 000234594C | 05 | |
| GA | 000234594S | 05 | |
| GA | 000234594K | 05 | |
| GA | 000234594T | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912323361 | William Jacobs | Massage Therapist | 13433 Ne 20th St Ste D, Bellevue, WA 98005-2024 | 2014-03-10 |
| 1356428585 | William Anderson Jacobs | Emergency Medicine | 3185 Highway 17, Green Cove Springs, FL 32043-9371 | 2006-11-01 |
| 1962587287 | William M. Jacobs | Pediatrics | 8405 E. Baseline Rd., Suite 107, Mesa, AZ 85209 | 2006-10-26 |
| 1417037375 | William Charles Jacobs | Registered Nurse | 816 8th St Nw, Puyallup, WA 98371-4129 | 2006-10-16 |
| 1619918430 | William Jacobs | Counselor | 1127 Alameda Blvd Nw Ste C, Albuquerque, NM 87114-1240 | 2006-06-10 |
| 1497746788 | William Jacobs | Dentist | 84 Rose Ave, Westbury, NY 11590-1028 | 2005-11-04 |
| 1467440966 | William Louis Jacobs | Chiropractor | 658 W Algonquin Rd, Des Plaines, IL 60016-5760 | 2005-10-10 |
| 1265882260 | William Matthew Jacobs | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2016-06-21 |
| 1639317308 | William Carl Jacobs Jr. | Pathology | 1000 Blythe Blvd Fl 4, Charlotte, NC 28203-5812 | 2009-02-03 |
| 1114171154 | William Scott Jacobs | Nurse Practitioner | 5005 North Piedras St., El Paso, TX 79920-5001 | 2008-11-04 |
| Street Address |
5669 PEACHTREE DUNWOODY RD NE SUITE 315 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649518432 | Wiley A. Parker, M.d.,p.c. | Clinic/Center | 5669 Peachtree Dunwoody Rd Ne, Suite 295, Atlanta, GA 30342-1786 | 2013-01-29 |
| 1922384429 | Allison Bruce Anderson | Physician Assistant | 5669 Peachtree Dunwoody Rd Ne, Suite 315, Atlanta, GA 30342-1786 | 2011-10-27 |
| 1174802003 | Vein Center of Georgia At Saint Joseph's, LLC | Surgery | 5669 Peachtree Dunwoody Rd Ne, Suite 155, Atlanta, GA 30342-1786 | 2011-08-09 |
| 1932488913 | Vascular Institute of Georgia At Saint Joseph's, LLC | Surgery | 5669 Peachtree Dunwoody Rd Ne, Suite 100, Atlanta, GA 30342-1786 | 2011-08-09 |
| 1720384324 | Saint Joseph's Medical Group Primary Care, LLC | Family Medicine | 5669 Peachtree Dunwoody Rd Ne, Suite 315, Atlanta, GA 30342-1786 | 2011-01-31 |
| 1588890586 | United Renal Associates of Georgia, PC | Internal Medicine | 5669 Peachtree Dunwoody Rd Ne, Ste 240, Atlanta, GA 30342-1786 | 2009-06-03 |
| 1477730273 | Thomas Patrick Mcgahan M.d. | Internal Medicine | 5669 Peachtree Dunwoody Rd Ne, Suite 210, Atlanta, GA 30342-1786 | 2008-01-24 |
| 1649457441 | Kelly Lynn Carson M.d. | Internal Medicine | 5669 Peachtree Dunwoody Rd Ne, Suite 210, Atlanta, GA 30342-1786 | 2008-01-24 |
| 1770768780 | Max A Shapiro | Internal Medicine | 5669 Peachtree Dunwoody Rd Ne, Suite 210, Atlanta, GA 30342-1786 | 2008-01-09 |
| 1104024496 | Meredith Page Kelleher | Physician Assistant | 5669 Peachtree Dunwoody Rd Ne, Suite 170, Atlanta, GA 30342-1786 | 2007-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013571033 | Norihiko Kamioka | Internal Medicine | 1364 Clifton Rd Ne Ste D422, Atlanta, GA 30322-1059 | 2019-04-24 |
| 1265798763 | Sulay Pankaj Patel | Internal Medicine | 101 Woodruff Circle Wmb 1013, Atlanta, GA 30322 | 2012-04-09 |
| 1073879573 | Ozlem Bilen | Internal Medicine | Emory University Cardiovascular, 101 Woodruff Circle, Wmb 3004, Atlanta, GA 30322-0001 | 2012-04-09 |
| 1881983963 | Roshin C Mathew | Internal Medicine | 6115 Peachtree Dunwoody Rd Ste 300, Atlanta, GA 30328-5695 | 2011-03-29 |
| 1174844971 | Vibhav Shyam Rangarajan | Internal Medicine | 95 Collier Rd Nw Ste 2065, Atlanta, GA 30309 | 2010-06-15 |
| 1356668081 | Benjamin David Demoss | Internal Medicine | 95 Collier Rd Nw Ste 3000, Atlanta, GA 30309-1721 | 2010-04-20 |
| 1437329810 | Heather Bagwell Westmoreland | Internal Medicine | 1110 W Peachtree St Nw Ste 900, Atlanta, GA 30309-3609 | 2008-03-03 |
| 1003093600 | Matthew J. Wilson | Internal Medicine | 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 | 2008-01-25 |
| 1154505238 | Danny John Eapen | Internal Medicine | 5671 Peachtree Dunwoody Road, Suite 300b, Atlanta, GA 30342-5000 | 2007-12-24 |
| 1740494087 | Sarah J. Rinehart | Internal Medicine | 275 Collier Rd, Nw, Suite 500, Atlanta, GA 30309-1740 | 2007-05-09 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.