IndividualActive
Jacob Humphrey, MD
NPI 1003340472 · Pediatric Nephrology Physician · Atlanta, GA
Provider details
- NPI number
- 1003340472
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 105633 (GA)
Practice location
2174 N Druid Hills Rd Ne
Atlanta, GA 30329-3102
Phone: (404) 785-5437
Mailing address
2174 N Druid Hills Rd Ne
Atlanta, GA 30329-3102
Registry dates
- Enumerated
- 2017-04-12
- Last updated
- 2025-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.