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Dr. Thomas Jacob , MD

Pediatrics β€’ Marietta, GA

Active NPI 1215295449 Individual Practitioner Male Practitioner
Practice location in NPPES

760 Kennesaw Ave Nw
Marietta, GA 300606909

Call 7704270183 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

760 Kennesaw Ave Nw

Marietta, GA 300606909

Telephone 7704270183
Organization at the Same NPPES Address or Phone
Wellstar Kenmar Pediatrics, Llc Facility NPI 1346296746

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Los Angeles, CA; Torrance, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Open Payments general payments, program year 2025

All general payments: $100.49 across 5 records.

By nature of payment

  • Food and Beverage: $100.49 across 5 records.

Reporting-company totals

  • Corium, LLC: $43.46 across 2 records.
  • Sanofi and Genzyme US Companies: $43.41 across 2 records.
  • Cranial Technologies, Inc: $13.62 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Jacob has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Jacob as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Marietta and Georgia

73 active clinicians are listed under Pediatrics with a practice address in Marietta, GA (2,267 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Marietta

1.4% of these 73 clinicians have the CMS telehealth indicator.

1.4% of these 73 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $100.49.

Manufacturer Payment Nature Product Type Amount ($)
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
TZIELD General $26.03
Corium, LLC
Food and Beverage
In-kind items and services
Azstarys General $25.98
Corium, LLC
Food and Beverage
In-kind items and services
Azstarys General $17.48
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
TZIELD General $17.38
Cranial Technologies, Inc
Food and Beverage
Cash or cash equivalent
Doc Band General $13.62

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-07-12
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES GA 94597

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CA 131098

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20150717002592

Enrollment State Jurisdiction

CA

PECOS Control ID

9537472626

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

4201 Torrance Blvd Ste 660

Torrance, CA 90503

Phone: 3103734303

200 Ucla Medical Plz Ste 265

Los Angeles, CA 900957419

Phone: 3108250867

757 Westwood Plz, B711 Rrumc

Los Angeles, CA 900957419

Phone: 3102679129

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location July 12, 2023

Registered at 760 KENNESAW AVE NW, MARIETTA, GA 300606909 (Tel: 7704270183)

πŸ“
Updated Business Mailing Address July 12, 2023

Registered at 760 KENNESAW AVE NW, MARIETTA, GA 300606909 (Tel: 7704270183)

🏒
Secondary Practice Location Registered July 12, 2023

Additional practice office at 757 Westwood Plz, B711 RRUMC, Los Angeles, CA 900957419

🏒
Secondary Practice Location Registered July 12, 2023

Additional practice office at 4201 Torrance Blvd Ste 660, Torrance, CA 90503

🏒
Secondary Practice Location Registered July 12, 2023

Additional practice office at 200 Ucla Medical Plz Ste 265, Los Angeles, CA 900957419

πŸ“
Updated Practice Location September 12, 2019

Registered at 4201 TORRANCE BLVD STE 660, TORRANCE, CA 90503 (Tel: 3103734303)

πŸ“
Updated Business Mailing Address September 12, 2019

Registered at 5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 900455631

βœ…
NPI Profile Active August 11, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 11, 2015

Registered at 757 WESTWOOD PLZ, B711 RRUMC, LOS ANGELES, CA 900957419 (Tel: 3102679129)

πŸ“
Business Mailing Address (Initial Record) August 11, 2015

Registered at 757 WESTWOOD PLZ, B711 RRUMC, LOS ANGELES, CA 900957419 (Tel: 3102679129)

πŸ‘€
Provider Name / Credentials (Initial Record) August 11, 2015

Recorded as THOMAS JACOB, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2015

Pediatrics (license number reported to NPPES: CA 131098)

🟒
Initial NPI Registration & Enumeration April 25, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215295449
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2012
Last Update: July 12, 2023
Sole Proprietor: Yes

Other Pediatrics Specialists in Marietta

All Pediatrics Specialists in Marietta

Mailing Address

760 Kennesaw Ave Nw

Marietta, GA 300606909

Phone: 7704270183

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.