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JOANNE JACOB
NPI 1346990991
Dermatology in Alpharetta, GA

Active since March 26, 2022PECOS Enrolled
3400C OLD MILTON PKWY STE 565, ALPHARETTA, GA 30005(770) 664-1012(770) 664-5543 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Joanne Jacob NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOANNE JACOB (NPI 1346990991) is an individual dermatology provider in Alpharetta, Georgia, licensed in Georgia (111243) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2022).

NPPES Registry Identity

NPI1346990991
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameJOANNE JACOB
Location Address3400C OLD MILTON PKWY STE 565Alpharetta, GA 30005-4438
Mailing Address3400c Old Milton Pkwy Ste 565Alpharetta, GA 30005-4438 · (770) 664-1012 · Fax (770) 664-5543
Phone(770) 664-1012
Fax(770) 664-5543
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2022
Enumeration DateMarch 26, 2022
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1346990991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 111243
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3400C OLD MILTON PKWY STE 565, Alpharetta, GA 30005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joanne Jacob is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406235324
PECOS Enrollment IDI20260429000978
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Joanne Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Epiphany Dermatology Of Georgia, LLC
45 mi
Dermatology
874 LANIER AVE W STE 270
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
NPI 1265544357 (770) 251-5111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Joanne Jacob's NPI number?

The NPI number for Joanne Jacob is 1346990991. It was assigned to this individual provider in the NPPES registry on March 26, 2022.

Where is Joanne Jacob located?

Joanne Jacob practices at 3400C Old Milton Pkwy Ste 565, Alpharetta, GA 30005. The listed phone number is (770) 664-1012.

What is Joanne Jacob's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Joanne Jacob enrolled in Medicare?

Yes. Joanne Jacob is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joanne Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joanne Jacob reassigns Medicare benefits to Epiphany Dermatology Of Georgia, LLC (Fayetteville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joanne Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joanne Jacob accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Joanne Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joanne Jacob was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.