Alexander Gonzalez-Jacobo, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

91731 Issued in GA

Practice address

2303 Cumberland Pkwy SE Ste 2
Atlanta, GA 30339-7004

Phone

(678) 626-0909

NPI assigned

Jun 20, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Nova Southeastern College of Osteo Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bariatric and Minimally Invasive Surgical InstituteGroup PAC ID 6103239454, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
• Northside Hospital Hospital, Atlanta, GA, CCN 110161

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FAFFCD/Endpoint/FAFFCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bariatric and Minimally Invasive Surgical Institute

  • Surgery Physician
  • Roswell, GA
  • NPI 1497364749

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Peachtree Surgical & Bariatrics

  • Specialist
  • Atlanta, GA
  • NPI 1386785780

  Single Specialty

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eastside Medical Center, LLC

  • General Acute Care Hospital
  • Snellville, GA
  • NPI 1467406132
  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1457701542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 CUMBERLAND PKWY SE STE 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397004",
            "telephone_number": "678-626-0909",
            "fax_number": "678-626-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 CUMBERLAND PKWY SE STE 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397004",
            "telephone_number": "678-626-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Tree Ln Ste 280",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300786798",
            "country_code": "US",
            "telephone_number": "678-626-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ-JACOBO",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "91731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Kyle Gonzales, D.O.
• Yurilu Andreina Gonzalez Moret, MD
• Eduardo Gabriel Gonzalez Santiago
• Stephanie Gonzalez-Galvan
• Teresa Gonzalez-Homan, PA-C
• Eliana L Gonzalez-Martinez, M.D.
• Alberto Gonzalez
• Darius Gonzalez, DPT
• David Gonzalez
• Denise Gonzalez

• Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.