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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JAQUELIN SMITH GOTLIEB MD
NPI 1689672826
Pediatrics in Stone Mountain, GA

Active since July 12, 2005
5405 MEMORIAL DR, BUILDING D, STONE MOUNTAIN, GA 30083(404) 296-3800(404) 297-8753 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jaquelin Smith Gotlieb Md NPPES

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

DR. JAQUELIN SMITH GOTLIEB MD (NPI 1689672826) is an individual pediatrics provider in Stone Mountain, Georgia, licensed in Georgia (017810) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1689672826
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JAQUELIN SMITH GOTLIEBCredential: MD
Location Address5405 MEMORIAL DR, BUILDING DStone Mountain, GA 30083-3234
Mailing Address5405 Memorial Dr, Building DStone Mountain, GA 30083-3234 · (404) 296-3800 · Fax (404) 297-8753
Phone(404) 296-3800
Fax(404) 297-8753
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1689672826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 017810
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.
5405 MEMORIAL DR, Stone Mountain, GA 30083
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHOEBE GATES THORPE M.D., M.P.H.
Specialist
5405 MEMORIAL DR, SUITE D
STONE MOUNTAIN, GA 30083
Dekalb County (404) 296-3800
DR. EDWARD MARVIN GOTLIEB MD
Pediatrics (Adolescent Medicine)
5405 MEMORIAL DR, BUILDING D
STONE MOUNTAIN, GA 30083
Dekalb County (404) 296-3800
TINITA SIMMONDS
Counselor (Professional)
5405 MEMORIAL DR, BLDG C
STONE MOUNTAIN, GA 30083
Dekalb County (678) 999-2611
EDWARD M. GOTLIEB, M.D., ET AL DBA THE PEDIATRIC CENTER
Pediatrics
5405 MEMORIAL DR, BUILDING D
STONE MOUNTAIN, GA 30083
Dekalb County (404) 296-3800
NTASHA HODGE LPC
Counselor (Mental Health)
5405 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (678) 999-2611
ESSENCE OF CARE INC
Community/Behavioral Health
5405 MEMORIAL DR, SUITE G&H
STONE MOUNTAIN, GA 30083
Dekalb County (404) 975-4680

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 Jaquelin Gotlieb's NPI number?

The NPI number for Jaquelin Gotlieb is 1689672826. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Jaquelin Gotlieb located?

Jaquelin Gotlieb practices at 5405 Memorial Dr Building D, Stone Mountain, GA 30083. The listed phone number is (404) 296-3800.

What is Jaquelin Gotlieb's specialty?

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

When was this NPI record last updated?

The NPPES record for Jaquelin Gotlieb was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.