LEAH JACOBS (NPI# 1942728449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942728449 |
| Entity Type | Individual |
| Full Name | LEAH JACOBS |
| Credential | NP-C |
| Practice Address |
5095 Mount Zion Pkwy Stockbridge GA 30281-7825 |
| Practice Telephone | 7705070576 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2019-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | RN209956 | GA | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN209956 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| STATE LICENSE | RN209965 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2759 Mount Zion Pkwy, Jonesboro, GA 302362568 | 7706030533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605793 | Leah Jacobs | Psychologist | 1769 Quiver Point Ave, Henderson, NV 89012-3482 | 2020-06-25 |
| 1033720107 | Leah Noel Jacobs | Counselor | 260 E 11th Ave, Eugene, OR 97401-3247 | 2020-08-12 |
| 1619412111 | Leah Danielle Jacobs | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2016-12-20 |
| 1164718532 | Leah Jacobs | Counselor | 1930 Market St, San Francisco, CA 94102-6228 | 2011-06-23 |
| 1255627972 | Leah B Jacobs | Nurse Practitioner | 7456 Main St W, Webster, WI 54893-8205 | 2011-06-21 |
| 1114049145 | Leah Pittell Jacobs | Social Worker | 211 W 56th St, 10 L, New York, NY 10019-4312 | 2007-04-03 |
| Street Address |
5095 MOUNT ZION PKWY |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-7825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942304886 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5095 Mount Zion Pkwy, Stockbridge, GA 30281-7825 | 2006-09-12 |
| 1982899761 | Ophelia A Botah-oduro | Nurse Practitioner | 5095 Mount Zion Pkwy, Stockbridge, GA 30281-7825 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877749 | Danyell Joelle Guyton | Nurse Practitioner | 215 Ballard Cir, Stockbridge, GA 30281-9605 | 2020-09-30 |
| 1043844830 | Tricia Jarrell Morris | Nurse Practitioner | 547 Winter View Way, Stockbridge, GA 30281-7799 | 2020-03-02 |
| 1831759778 | Stephanie Mcelreath | Nurse Practitioner | 350 Country Club Dr Ste D, Stockbridge, GA 30281-9084 | 2019-06-13 |
| 1396201885 | Dominique K Bethea | Nurse Practitioner | 550 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281-9083 | 2019-02-20 |
| 1285109678 | Alecia Kimberly Liburd | Nurse Practitioner | 380 Timber Top Dr, Stockbridge, GA 30281-1176 | 2018-10-11 |
| 1376037507 | Katrina Burns Bell | Nurse Practitioner | 201 Copperwood Ct, Stockbridge, GA 30281-1593 | 2018-06-20 |
| 1780178426 | Caroline Staines | Nurse Practitioner | 325 Viceroy Curv, Stockbridge, GA 30281-7780 | 2018-06-16 |
| 1033611439 | Sandra Thomas | Nurse Practitioner | 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281-7343 | 2018-03-02 |
| 1275046617 | Tammy T Tran | Nurse Practitioner | 1012 Lake Oconee Ct, Stockbridge, GA 30281-5973 | 2017-11-08 |
| 1023532231 | Shanae Mapp | Nurse Practitioner | 831 Fairways Ct, Stockbridge, GA 30281 | 2017-07-29 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on LEAH JACOBS.
| 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.