DR. STEPHEN CHACKO JACOB


Address: 2470 Windy Hill Rd Se, Ste 300, Marietta, GA 30067-8613
Phone: 7706183011

DR. STEPHEN CHACKO JACOB (NPI# 1700828795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700828795
Entity Type Individual
Full Name DR. STEPHEN CHACKO JACOB
Credential M.D.
Practice Address 2470 Windy Hill Rd Se
Ste 300
Marietta
GA 30067-8613
Practice Telephone 7706183011
Mailing Telephone 7706183011
Enumeration Date 2006-06-12
Last Update Date 2017-03-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083X0100X Preventive Medicine
Specialization: Occupational Medicine
041142 GA Allopathic & Osteopathic Physicians

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1699327601 Stephen Jacob Physical Therapist 449 River Ave, Williamsport, PA 17701-3722 2019-07-10
1346241833 Stephen P Jacob Anesthesiology 6701 N Charles St, Towson, MD 21204-6808 2005-08-09

Office Location

Street Address 2470 WINDY HILL RD SE
STE 300
City MARIETTA
State GA
Zip Code 30067-8613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649729658 Serene Transitional Hospice Hospice, Inpatient 2470 Windy Hill Rd Se, Marietta, GA 30067-8613 2016-10-03
1780048330 Cheerful Habits LLC Clinic/Center 2470 Windy Hill Rd Se, Suite 300 Pmb 5202, Marietta, GA 30067-8613 2016-04-11
1073993150 Annette Mary Bernard Md P.a. Clinic/Center 2470 Windy Hill Rd Se, Num 366c, Marietta, GA 30067-8613 2015-06-04
1366821365 Professional Premium Services Inc Clinic/Center 2470 Windy Hill Rd Se, Num 366c, Marietta, GA 30067-8613 2015-05-22
1467842617 Lauren Thomas Behavioral Analyst 2470 Windy Hill Rd Se, Suite 300, Marietta, GA 30067-8613 2015-01-27
1730579137 Vicki Posey Lackey Behavioral Analyst 2470 Windy Hill Rd Se, Marietta, GA 30067-8613 2015-01-23
1467840447 Cobb Anger Management Company LLC Community/Behavioral Health 2470 Windy Hill Rd Se, Marietta, GA 30067-8613 2014-12-29
1144626094 Ab Center Group Corp LLC Internal Medicine 2470 Windy Hill Rd Se, Suite 322a, Marietta, GA 30067-8613 2014-11-05
1982006904 Innovative Therapy of Georgia Psychologist 2470 Windy Hill Rd Se, Suite 300, Marietta, GA 30067-8613 2014-09-22
1821490848 Shelena Davis Counselor 2470 Windy Hill Rd Se, Suite 300, Marietta, GA 30067-8613 2014-09-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689140022 Sherry Wilson King Marriage & Family Therapist 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 2018-10-23
1053886861 Precious Angel Home Care Services Inc Adult Companion 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 2018-10-08
1194206466 Joshua P Moree Chiropractor 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 2018-08-24
1841778081 Sun Pediatrics LLC Pediatrics 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 2018-07-31
1508358714 Mbs Wellness Group, LLC Durable Medical Equipment & Medical Supplies 62 Shawnee Trail Se, Marietta, GA 30067 2018-06-04
1497254213 Allison M Jancik Chiropractor 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 2018-02-07
1801304969 Danielle Ann Dietrich Chiropractor 805 Winterset Pkwy Se, Marietta, GA 30067 2018-01-11
1740794866 Jessica Lofgren Chiropractor 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 2017-11-28
1871026393 Rhonda Dawes Milner Counselor 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 2017-04-11
1457894537 Carcelia Delk Counselor 1110 Augusta Dr Se, Marietta, GA 30067 2016-11-22
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Taxonomy Information

Taxonomy Code 2083X0100X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Occupational Medicine

Taxonomy Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790234086 U.S. Healthworks Medical Group of Georgia, Inc. Preventive Medicine 470 Franklin Gtwy Se, Suite 103, Marietta, GA 30067-7739 2016-09-27
1184864159 Haviva Goldhagen Preventive Medicine 1376 Sheffield Pkwy, Marietta, GA 30062-2740 2009-03-03
1609016674 Karl C. Gildiner Preventive Medicine 1376 Sheffield Pkwy, Marietta, GA 30062-2740 2009-03-03
1528260247 Walter B Wildstein Preventive Medicine 220 Cobb Pkwy N, Suite 400, Marietta, GA 30062-3581 2007-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477110187 Ariel Alibey Preventive Medicine 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 2019-05-29
1447742614 John Francis Halpin Preventive Medicine Occupational Health Clinic Bldg. 16, 1600 Clifton Rd., Atlanta, GA 30333 2018-06-04
1184173478 U.S. Healthworks Medical Group of Georgia, Inc. Preventive Medicine 7750 The Blfs Ste 100, Austell, GA 30168-7754 2016-09-27
1518329440 Harold Wayne Clayton Preventive Medicine 1133 Drewsbury Ct Se, Smyrna, GA 30080-3953 2016-03-21
1932511946 Richard Miller Preventive Medicine 100 Alabama St Sw, Atlanta, GA 30303-8701 2014-05-24
1801219373 Fredric Kevin Rosenberg Preventive Medicine 3270 Cochise Dr Se, Atlanta, GA 30339-4319 2014-02-03
1508121625 Ohm Clinical Services, Inc. Preventive Medicine 8100b Roswell Rd, 400, Atlanta, GA 30350-6428 2012-07-05
1194957084 Paul Joe Preventive Medicine 601 Belgrave Ln, Tucker, GA 30084-2077 2009-08-11
1497998058 Margarett Ann Wilson Preventive Medicine 80 Jesse Hill Drive Ne, Atlanta, GA 30303 2009-04-13
1982868915 Imo Friday Ndem Preventive Medicine 4111 Old Petersburg Rd, Pathway To Wellness Center,pc, Augusta, GA 30907-3346 2008-07-18
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Competitor

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City MARIETTA
Zip Code 30067

Improve Information

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Dataset Information

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.

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