DR. WILLIAM CARLISLE JACOBS MD NPI 1174528384

NPI Information

  • NPI: 1174528384
  • Provider Name: DR. WILLIAM CARLISLE JACOBS, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 5669 PEACHTREE DUNWOODY RD NE
    SUITE 315
    ATLANTA, GA
    ZIP 30342
  • Phone: (404) 250-6400

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NPI Details

DR. William Carlisle Jacobs, MD is a cardiovascular disease internal medicine in Atlanta, GA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. William Carlisle Jacobs, MD NPI is 1174528384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5669 PEACHTREE DUNWOODY RD NE
SUITE 315
ATLANTA, GA
ZIP 30342-786
Phone: (404) 250-6400
Fax: (404) 250-6405

The enumeration date for this NPI number is 6/15/2005 and was last updated on 10/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease018679GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000234594XMEDICAIDGEORGIA
2000234594KMEDICAIDGEORGIA
3000234594QMEDICAIDGEORGIA
4511I110541MEDICARE PINGEORGIA
506BDGLVMEDICARE PINGEORGIA
6000234594SMEDICAIDGEORGIA
7000234594CMEDICAIDGEORGIA
8000234594TMEDICAIDGEORGIA
9000234594UMEDICAIDGEORGIA
10E60826MEDICARE UPIN
11000234594RMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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