Wendy Jacobson MD PC, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

038811 Issued in GA

Practice address

1485 Lavista Rd NE
Atlanta, GA 30324-3846

Phone

(404) 325-5677

Fax

(404) 325-9029

NPI assigned

Mar 4, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1619006921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 LAVISTA RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243846",
            "telephone_number": "404-325-5677",
            "fax_number": "404-325-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 LAVISTA RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243846",
            "telephone_number": "404-325-5677",
            "fax_number": "404-325-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON MD PC",
        "first_name": "WENDY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "038811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sol Jacobs, M.D.
• Solomon Jacobs, D.M.D.
• Theresa R Jacobs, MD
• William Carlisle Jacobs, MD
• William Herbert Jacobsen II, M.D.
• David J Jacobson
• Kailey Jacobson, DO
• Michael S Jacobson, M.D.
• Sarah Jacobson
• Terry A Jacobson, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.