JACOB EDWARDS MD - NPI 1730323254 - Pediatrics in Decatur, GA

Q: What is Jacob Edwards's NPI number?

The NPI number for Jacob Edwards is 1730323254. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Q: What is Jacob Edwards's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Edwards was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

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About Jacob Edwards Md NPPES

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

JACOB EDWARDS MD (NPI 1730323254) is an individual pediatrics provider in Decatur, Georgia, licensed in Alabama (MD.31940) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730323254

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJACOB EDWARDSCredential: MD

Location Address350 WINN WAYDecatur, GA 30030-2106

Mailing Address1528 Monarch DrMarietta, GA 30062-2748 · (404) 213-1581

Phone(404) 508-1177

Fax(404) 508-9640

Sole ProprietorNo

Enumeration DateApril 28, 2009

Last NPPES UpdateMay 21, 20252 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1730323254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AL · MD.31940

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.

350 WINN WAY, Decatur, GA 30030

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Other Identifiers 5

Other51222367AL · Bcbs

Medicaid141478AL

Medicaid003190111DGA

Medicaid229200AL

Medicaid021006600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Edwards Md 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 30030 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.

Other Providers at the Same Location NPPES 14

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

MELINDA E SHELTON MD

Pediatrics