ROSS LANG JACOBSON MD NPI 1518947456

NPI Information

NPI: 1518947456
Provider Name: ROSS LANG JACOBSON, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 297-2200
Get Directions

Ross Lang Jacobson, MD is a gynecology obstetrics gynecology in Gainesville, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Ross Lang Jacobson, MD NPI is 1518947456. 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:

725 JESSE JEWELL PKWY SE
GAINESVILLE, GA
ZIP 30501-834
Phone: (770) 297-2200
Fax: (770) 534-8139

The enumeration date for this NPI number is 1/18/2006 and was last updated on 8/14/2019.

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
1	207VG0400X	Obstetrics & Gynecology	Gynecology	057204	GEORGIA	Yes
2	207V00000X	Obstetrics & Gynecology		057204	GEORGIA	No

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
1	340853	OTHER	GEORGIA	WELLCARE
2	4346566	OTHER	GEORGIA	CIGNA
3	238806338A	MEDICAID	GEORGIA
4	238806338D	MEDICAID	GEORGIA
5	4069685	OTHER	GEORGIA	AETNA
6	52197850	OTHER	GEORGIA	BCBS
7	238806338C	MEDICAID	GEORGIA
8	238806338E	MEDICAID	GEORGIA
9	10038639	OTHER	GEORGIA	AMERIGROUP
10	238806338B	MEDICAID	GEORGIA
11	0677272	OTHER	GEORGIA	UNITED HEALTHCARE

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: 5/5/2024

NPI Synchronization or Removal

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