Mina Jacob, MD, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

51477 Issued in GA

Legal business name

MINA JACOB, MD, PC

Practice address

1300 Peachtree Battle Ave NW
Atlanta, GA 30327-1424

Phone

(404) 273-6438

NPI assigned

Apr 23, 2012

Last updated

Apr 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mina Jacob, M.D.

Title

President

Phone

(404) 273-6438

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1467719849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE BATTLE AVE NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271424",
            "telephone_number": "404-273-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE BATTLE AVE NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271424",
            "telephone_number": "404-273-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA JACOB, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-273-6438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "51477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph P Mims, M.D.
• Mary Hinson Mims, DO
• Min K. Lee, M.D.P.C.
• Kevin Jay Min, M.D.
• Taejin Lance Min, M.D., PH.D.
• Mary Alice Nading Mina, M.D.
• Roberto Mina, MD
• Alexandra Minasian
• Jeffrey Hampar Minassian, MD
• Mind Body and Soul Homecare Services

• Medical Specialty Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.