NICOLAS S KRAWIECKI (NPI# 1033143011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033143011 |
| Entity Type | Individual |
| Full Name | NICOLAS S KRAWIECKI |
| Credential | MD |
| Practice Address |
2015 Upper Gate Dr Ne Atlanta GA 30322-1014 |
| Practice Telephone | 4047279372 |
| Mailing Telephone | 4047279372 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
022804 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS BLUE SHIELD | 649800 | 01 |
| Street Address |
2015 UPPER GATE DR NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902880727 | Jennifer A Jackson | Pediatrics | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2005-12-05 |
| 1063712644 | Ayanna Butler-cephas | Pediatrics | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1015 | 2010-10-28 |
| 1356674840 | M Denise Pollard-manigault | Nurse Practitioner | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2009-09-15 |
| 1043465941 | Jennifer A Button | Nurse Practitioner | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2008-11-20 |
| 1821253436 | Tanicia Cheri Daley Jean Pierre | Pediatrics | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2008-07-23 |
| 1669659801 | Emory University School of Medicine | General Acute Care Hospital | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2008-01-30 |
| 1114116480 | Jamika Lashell Hallman-cooper | Psychiatry & Neurology | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-0001 | 2007-10-23 |
| 1659571628 | Ravi Mangal Patel | Pediatrics | 2015 Upper Gate Dr Ne, Division of Neonatology, 3rd Floor, Atlanta, GA 30322-1014 | 2007-07-19 |
| 1174642193 | Helen O Williams | Pediatrics | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2007-03-29 |
| 1942346309 | Lynn Sherrer | Nurse Practitioner | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356527329 | Atlanta Child Neurology, PC | Pediatrics | 975 Johnson Ferry Rd Ne Ste 360, Atlanta, GA 30342-4735 | 2008-01-21 |
| 1013150101 | Children's Healthcare of Atlanta Pediatric Neurology | Pediatrics | 5455 Meridian Marks Rd Ne, Suite 200, Atlanta, GA 30342-1654 | 2009-04-20 |
| 1043234123 | Larry D Olson | Pediatrics | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2006-07-26 |
| 1144257742 | Phillip J Holt | Pediatrics | 2015 Uppergate Dr Ne, Atlanta, GA 30322-0001 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902433832 | Pediatric Wellness Associates Lllp | Pediatrics | 1240 Upper Hembree Rd Ste A, Roswell, GA 30076-0914 | 2020-03-23 |
| 1053468694 | Lynda Frankena Reagan | Pediatrics | 190 Bostwick Rd, Oxford, GA 30054-2834 | 2007-01-05 |
| 1255441994 | Karen L. Carter | Pediatrics | 1303 D'antignac Street, Suite 2100, Augusta, GA 30901 | 2006-08-30 |
| 1962039420 | The M Center for Integrative Pediatrics | Pediatrics | 5050 Research Ct Ste 800, Suwanee, GA 30024-6606 | 2020-03-25 |
| 1144400664 | Sumter Pediatrics LLC | Pediatrics | 103 Ga Highway 27 E, Americus, GA 31709-3800 | 2007-11-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.