CLYDE TYRONE JACOB III M.D.
NPI 1972504488
Obstetrics & Gynecology in Johns Creek, GA
About Clyde Tyrone Jacob Iii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLYDE TYRONE JACOB III M.D. (NPI 1972504488) is an individual obstetrics & gynecology provider in Johns Creek, Georgia, licensed in Georgia (81399) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Austell, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Clyde Tyrone Jacob Iii M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30097 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JOHNS CREEK, GA 30097
JOHNS CREEK, GA 30097
JOHNS CREEK, GA 30097
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 Clyde Jacob's NPI number?
The NPI number for Clyde Jacob is 1972504488. It was assigned to this individual provider in the NPPES registry on August 9, 2005.
Where is Clyde Jacob located?
Clyde Jacob practices at 6325 Hospital Pkwy, Johns Creek, GA 30097. The listed phone number is (678) 474-7000.
What is Clyde Jacob's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Clyde Jacob enrolled in Medicare?
Yes. Clyde Jacob is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Clyde Jacob accept?
Health plans from Alliant Health Plans, Inc., CareSource and Providence Health Plan list Clyde Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Clyde Jacob was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Clyde Tyrone Jacob III, M.D. · NPI 1972504488
Obstetrics & Gynecology physician in Johns Creek, Georgia. Individual provider, active in the CMS NPPES registry since August 9, 2005.
## Identity
- **NPI:** 1972504488 (Entity type: Individual)
- **Enumerated:** August 9, 2005
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 81399 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6325 HOSPITAL PKWY, Johns Creek, GA 30097-5775
- **Phone:** (678) 474-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** December 14, 2023
- **Other identifiers:** Medicaid 02219496 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1972504488) · Data from the CMS NPPES public registry.