Jeffrey Paul Polekoff, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036434 Issued in GA

Practice address

558 Gramercy Dr NE
Marietta, GA 30068-4871

Phone

(678) 644-5639

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeff Polekoff Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1497888192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 GRAMERCY DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684871",
            "telephone_number": "678-644-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 GRAMERCY DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684871",
            "telephone_number": "678-644-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEKOFF",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "036434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "POLEKOFF",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adrienne Nicole Polite, D.O.
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• Courtney Brooke Pollard, R.N.
• Katherine J. Pollard, AU.D.

• Internal Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.