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DR. JAY HOWARD POLOKOFF M.D.
NPI 1467415281
Pediatrics in Lawrenceville, GA

Active since April 11, 2006PECOS Enrolled
455 PHILIP BLVD, SUITE 130, KAISER PERMANENTE LAWRENCEVILLE MEDICAL CENTER, LAWRENCEVILLE, GA 30046(678) 985-5006(770) 449-9319 Get Directions Write a Review

NPPES record last updated: April 26, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jay Howard Polokoff M.d. NPPES

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

DR. JAY HOWARD POLOKOFF M.D. (NPI 1467415281) is an individual pediatrics provider in Lawrenceville, Georgia, licensed in Georgia (026051) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467415281
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JAY HOWARD POLOKOFFCredential: M.D.
Location Address455 PHILIP BLVD, SUITE 130, KAISER PERMANENTE LAWRENCEVILLE MEDICAL CENTERLawrenceville, GA 30046
Mailing Address3495 Piedmont Road, Ne, Nine Piedmont CenterAtlanta, GA 30305 · (404) 364-7070 · Fax (770) 449-9319
Phone(678) 985-5006
Fax(770) 449-9319
Sole ProprietorNo
Enumeration DateApril 11, 2006
Last NPPES UpdateApril 26, 2012
✔ NPI 1467415281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 026051
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
455 PHILIP BLVD, SUITE 130, Lawrenceville, GA 30046
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Other Identifiers 1

Medicaid000338511BGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jay Howard Polokoff M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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 Jay Polokoff's NPI number?

The NPI number for Jay Polokoff is 1467415281. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Jay Polokoff located?

Jay Polokoff practices at 455 Philip Blvd, Suite 130 Kaiser Permanente Lawrenceville Medical Center, Lawrenceville, GA 30046. The listed phone number is (678) 985-5006.

What is Jay Polokoff's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jay Polokoff enrolled in Medicare?

Yes. Jay Polokoff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jay Polokoff was last updated on April 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.