Active NPI
Sherida D Jacobs DMD LLC
- Pediatric Dentistry
- Macon, GA
National Provider Identifier
1891603916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SHERIDA D JACOBS DMD LLC
- Practice address
- 4132 Arkwright Rd
Macon, GA 31210-1707 - Phone
- (478) 808-8222
- Fax
- (478) 405-7794
- NPI assigned
- Aug 31, 2026
- Organization subpart
- Yes
- Parent organization
- SHERIDA D JACOBS DMD LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sherida Dawn Jacobs, DMD
- Title
- Dentist/Owner
- Phone
- (478) 405-7797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
4132 Arkwright Rd
Macon, GA 31210-1707
Mailing address
4132 Arkwright Rd Apt Suite
Macon, GA 31210-1707
Phone (478) 405-7797
Other practice location 1
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 808-8222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00746919B | Medicaid | GA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1891603916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4132 ARKWRIGHT RD APT SUITE",
"city": "MACON",
"state": "GA",
"postal_code": "312101707",
"telephone_number": "478-405-7797",
"fax_number": "478-405-7794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4132 ARKWRIGHT RD",
"city": "MACON",
"state": "GA",
"postal_code": "312101707",
"telephone_number": "478-808-8222",
"fax_number": "478-405-7794"
}
],
"practiceLocations": [
{
"address_1": "777 Hemlock St",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312012102",
"country_code": "US",
"telephone_number": "478-808-8222",
"fax_number": "478-405-7794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHERIDA D JACOBS DMD LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHERIDA D JACOBS DMD LLC",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "SHERIDA",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "478-405-7797",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00746919B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.