MEDICARE: DR. JACOB LEPARD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	97076	GA

General Provider Information

NPI Number	:	1326450594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACOB LEPARD M.D.

Provider Business Mailing Address
First Line	:	5461 MERIDIAN MARK RD STE 540
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-3283
Country	:	US
Telephone Number	:	404-785-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	5461 MERIDIAN MARK RD STE 540
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-3283
Country	:	US
Telephone Number	:	423-593-1806
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2014
Last Update Date	:	04/22/2026

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