JACOB A HUMPHREY MD
NPI 1003340472
Pediatrics - Pediatric Nephrology in Atlanta, GA
About Jacob A Humphrey Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB A HUMPHREY MD (NPI 1003340472) is an individual pediatric nephrology provider in Atlanta, Georgia, licensed in Georgia (105633) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Children's Healthcare Of Atlanta At Egleston, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob A Humphrey Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Children's Healthcare Of Atlanta At Egleston
Childrens · Atlanta, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
ATLANTA, GA 30329
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacob Humphrey's NPI number?
The NPI number for Jacob Humphrey is 1003340472. It was assigned to this individual provider in the NPPES registry on April 12, 2017.
Where is Jacob Humphrey located?
Jacob Humphrey practices at 2174 N Druid Hills Rd NE, Atlanta, GA 30329. The listed phone number is (404) 785-5437.
What is Jacob Humphrey's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.
Is Jacob Humphrey enrolled in Medicare?
Yes. Jacob Humphrey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Jacob Humphrey affiliated with any hospitals?
According to CMS data, Jacob Humphrey is affiliated with Children's Healthcare Of Atlanta At Egleston.
When was this NPI record last updated?
The NPPES record for Jacob Humphrey was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacob A Humphrey, MD · NPI 1003340472
Pediatric Nephrology physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since April 12, 2017.
## Identity
- **NPI:** 1003340472 (Entity type: Individual)
- **Enumerated:** April 12, 2017
- **Primary specialty:** Pediatrics - Pediatric Nephrology · taxonomy 2080P0210X
- **State license:** 105633 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2174 N DRUID HILLS RD NE, Atlanta, GA 30329-3102
- **Phone:** (404) 785-5437
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Louisville School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** August 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003340472) · Data from the CMS NPPES public registry.