Individual provider · Type 1 NPI

Clyde Tyrone Jacob Iii, MD

Obstetrics & Gynecology Physician · Johns Creek, GA

NPI number 1972504488 Active

Practice location

6325 Hospital Pkwy
Johns Creek, GA 30097-5775

Call (678) 474-7000 Map

Mailing address

5950 Cabotage Rd
Johns Creek, GA 30097-8475

Other practice locations

  • 3950 Austell Rd, Austell, GA 30106-1121 · (770) 793-5913

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000X1999591 (NY)
Obstetrics & Gynecology Physician 207V00000X01089636A (IN)
Obstetrics & Gynecology Physician 207V00000X036097872 (IL)
Obstetrics & Gynecology Physician 207V00000X25MA09347700 (NJ)
Obstetrics & Gynecology Physician 207V00000XME162114 (FL)
Obstetrics & Gynecology Physician Primary 207V00000X81399 (GA)
Obstetrics & Gynecology Physician 207V00000XC1-0025884 (DE)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1972504488

Clyde Tyrone Jacob Iii, MD's National Provider Identifier is 1972504488, issued on Aug 9, 2005. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Johns Creek, GA. The record was last updated on Oct 22, 2026.