Clyde Jacob, M.D.
NPI 1972504488 · Obstetrics & Gynecology Physician · Johns Creek, GA
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clyde Jacob, M.D. is a Obstetrics & Gynecology Physician provider in Johns Creek, GA (NPI 1972504488).
Provider details
- NPI number
- 1972504488
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01089636A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3950 Austell RdAustell, GA 30106-1121Phone: (770) 793-5913Fax: (770) 999-2445
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2023-12-14
- Certified
- 2023-08-10
Frequently asked questions
- What is Clyde Jacob's NPI number?
- Clyde Jacob's National Provider Identifier (NPI) is 1972504488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clyde Jacob's specialty?
- Clyde Jacob is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Clyde Jacob located?
- Clyde Jacob's practice location on file with NPPES is 6325 Hospital Pkwy, Johns Creek, GA 30097-5775.
- What is Clyde Jacob's phone number?
- The practice phone number listed in the NPPES registry for Clyde Jacob is (678) 474-7000.
- Does Clyde Jacob accept Medicare?
- Clyde Jacob is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Clyde Jacob's NPI active?
- Yes — Clyde Jacob's NPI (1972504488) is active in the NPPES registry as of the last update on 2023-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.