DR. MARYANN KURUVILLA JACOB M.D.
NPI 1356375315
Psychiatry & Neurology - Child & Adolescent Psychiatry in Atlanta, GA
About Dr. Maryann Kuruvilla Jacob M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARYANN KURUVILLA JACOB M.D. (NPI 1356375315) is an individual child & adolescent psychiatry provider in Atlanta, Georgia, licensed in Georgia (058562) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Maryann Kuruvilla Jacob M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Maryann Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other 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 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
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 Maryann Jacob's NPI number?
The NPI number for Maryann Jacob is 1356375315. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Maryann Jacob located?
Maryann Jacob practices at 1001 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 785-4982.
What is Maryann Jacob's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Maryann Jacob enrolled in Medicare?
Yes. Maryann Jacob is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Maryann Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryann Jacob reassigns Medicare benefits to Emory Medical Care Foundation Inc (Atlanta, 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 Maryann Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maryann Jacob accept?
Health plans from Oscar Health list Maryann 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 Maryann Jacob was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Maryann Kuruvilla Jacob, M.D. · NPI 1356375315
Child & Adolescent Psychiatry physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1356375315 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 058562 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1001 JOHNSON FERRY RD, Atlanta, GA 30342-1605
- **Phone:** (404) 785-4982
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emory Medical Care Foundation Inc (NPI 1063452381, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1356375315) · Data from the CMS NPPES public registry.