THREE IN ONE MEDICAL
NPI 1821537655
Preferred Provider Organization in Lilburn, GA

Active since February 13, 2017
5222 ADDISON TRL SW, LILBURN, GA 30047(770) 282-9860 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Preferred Provider Organization

About THREE IN ONE MEDICAL

This page provides the complete NPI Profile along with additional information for Three In One Medical, a provider established in Lilburn, Georgia operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1821537655 assigned on February 2017. The practitioner's primary taxonomy code is 305R00000X with license number 305R00000X (GA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Stanley Earl Jacobs Md (Owner)

NPI
1821537655 Verify this NPI
Provider Name
THREE IN ONE MEDICAL
Entity Type
Organization
Location Address
5222 ADDISON TRL SW LILBURN, GA 30047
Location Phone
(770) 282-9860
Mailing Address
5222 ADDISON TRL SW LILBURN, GA 30047
Mailing Phone
(770) 282-9860
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2017
Last Update Date
02-13-2017
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
305R00000X
License State
GA
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. STANLEY EARL JACOBS MD

Authorized Official Title
OWNER
Authorized Official Phone
(770) 282-9860

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
111564508489MEDICAID (05)GA 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Preferred Provider Organization
5222 ADDISON TRL SW
LILBURN, GA 30047

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821537655, enumerated as an "organization" on February 13, 2017.

The provider is located at 5222 ADDISON TRL SW LILBURN, GA 30047 and the phone number is (770) 282-9860.

Preferred Provider Organization with taxonomy code 305R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.