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JACOB HARRIS LEVY
NPI 1811526627
Pediatrics - Pediatric Emergency Medicine in Atlanta, GA

Active since April 03, 2020PECOS Enrolled
49 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 778-1440 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Harris Levy NPPES

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

JACOB HARRIS LEVY (NPI 1811526627) is an individual pediatric emergency medicine provider in Atlanta, Georgia, licensed in Arizona (010267) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1811526627
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameJACOB HARRIS LEVY
Location Address49 JESSE HILL JR DR SEAtlanta, GA 30303-3049
Mailing Address49 Jesse Hill Jr Dr SeAtlanta, GA 30303-3049
Phone(404) 778-1440
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1811526627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in AZ · 010267
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
49 JESSE HILL JR DR SE, Atlanta, GA 30303
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Secondary Practice Location 1

Location 11919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-1900 · Fax (602) 933-1918

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1153886585
PECOS Enrollment IDI20260716003143
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 Jacob Levy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Medical Group
1,573 mi
Multi-Specialty
5131 E SOUTHERN AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 clinicians in this Medicare group
NPI 1487814240 (602) 933-0002

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.

CAMERON R MARTIN PA-C
Physician Assistant
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-4473
JOO YOUNG JUNG
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
SUMAIYA ALAM MD
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
SHRUTI GUPTA MD
Internal Medicine (Hematology & Oncology)
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
NANDINI AVULA
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
WASEF NIJIM
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
CHANDRIKA SANAPALA DO
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
DR. DAMON LEE JONES III M.D.
Pediatrics
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-1440

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 Jacob Levy's NPI number?

The NPI number for Jacob Levy is 1811526627. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Jacob Levy located?

Jacob Levy practices at 49 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 778-1440.

What is Jacob Levy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Jacob Levy enrolled in Medicare?

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

Which organization bills Medicare for Jacob Levy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Levy reassigns Medicare benefits to Phoenix Children's Medical Group (Mesa, AZ). 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 Jacob Levy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Levy was last updated on June 15, 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.