Organization Active NPI

Sherida D Jacobs DMD LLC

  • Pediatric Dentistry
  • Macon, GA
National Provider Identifier
1891603916
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00746919BMedicaidGA

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.

Verify at the official NPI Registry.