JEFFREY EDWARD JACOBY (NPI# 1811522139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811522139 |
Entity Type | Individual |
Full Name | JEFFREY EDWARD JACOBY |
Practice Address |
1424 Spring St Se Smyrna GA 30080-3666 |
Mailing Address |
1371 Mill Brook Dr Marietta GA 30066-1175 |
Practice Telephone | 7703379426 |
Mailing Telephone | 7703379426 |
Enumeration Date | 2020-03-06 |
Last Update Date | 2020-03-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT002900 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891277489 | Jeffrey Robert Jacoby | Specialist/Technologist | 78 Panepinto Dr, Schwenksville, PA 19473-1828 | 2018-08-30 |
1659373751 | Jeffrey A Jacoby | Orthopaedic Surgery | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2005-08-10 |
Street Address |
1424 SPRING ST SE |
City | SMYRNA |
State | GA |
Zip Code | 30080-3666 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114033313 | Daniel Curriden | Chiropractor | 1424 Spring St Se, Smyrna, GA 30080-3666 | 2006-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
Find all providers in zip 30080 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548868078 | Brian Christopher Covington | Massage Therapist | 93 Weakley Ln Apt B20, Smyrna, TN 37167-4368 | 2020-10-16 |
1316590128 | Laura Pierce Carrington | Massage Therapist | 3034 Nursery Rd Se, Smyrna, GA 30082-2132 | 2019-07-20 |
1760962906 | Jared Hill | Massage Therapist | 710 Concord Rd Se, Smyrna, GA 30082-2623 | 2018-08-17 |
1023425238 | Shandrena Williams | Massage Therapist | 1186 Magnolia Way Se, Smyrna, GA 30082-2200 | 2014-07-20 |
1629407358 | Karyn Malloch Bailey | Massage Therapist | 5609 Dupont Pkwy Ste 7, Smyrna, DE 19977-9211 | 2013-11-04 |
1295163889 | Sarah Craig | Massage Therapist | 5609 Dupont Pkwy, #7, Smyrna, DE 19977-9211 | 2013-10-17 |
1003096355 | Arnold Louis Peluso | Massage Therapist | 1028 Oaks Pkwy Se, Smyrna, GA 30082-2201 | 2007-11-04 |
1215058755 | Debralee L Foster | Massage Therapist | 149 Foster Rd, Smyrna, NY 13464-2710 | 2007-04-03 |
1912438110 | Shelby Woodall | Massage Therapist | 1154 Concord Rd Se, Smyrna, GA 30080-4263 | 2017-03-21 |
1366867004 | Ja'net Reid-jones | Massage Therapist | 101 N Main St, Smyrna, DE 19977-1112 | 2014-03-04 |
Find all providers in SMYRNA |
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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.