KIDS TIME PEDIATRICS, LLC (NPI# 1164628681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164628681 |
| Entity Type | Organization |
| Organization Name | KIDS TIME PEDIATRICS, LLC |
| Practice Address |
696 Billups Ave Madison GA 30650-1439 |
| Practice Telephone | 7063422180 |
| Mailing Telephone | 7063422180 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | FLYNN CLYBURN (PRESIDENT) |
| Authorized Official Telephone | 7063422180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
696 BILLUPS AVE |
| City | MADISON |
| State | GA |
| Zip Code | 30650-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518278324 | Kids Time Pediatrics - East Cobb, LLC | Pediatrics | 696 Billups Ave, Madison, GA 30650-1439 | 2010-06-25 |
| 1184935223 | Kids Time Pediatrics - East Cobb LLC | Pediatrics | 696 Billups Ave, Madison, GA 30650-1439 | 2010-06-23 |
| 1205157054 | Kids Time Pediatrics - Alpharetta, LLC | Pediatrics | 696 Billups Ave, Madison, GA 30650-1439 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487219192 | Morgan County, Georgia Hospital Authority | Pharmacy | 1740 Lions Club Road, Madison, GA 30650 | 2019-05-08 |
| 1215420690 | Advantage Behavioral Health Systems | Clinic/Center | 1801 Prospect Rd., Madison, GA 30650 | 2018-06-11 |
| 1942791470 | Kristin Barnett | Social Worker | 256 W Washingtonst, Madison, GA 30650 | 2018-05-21 |
| 1710474275 | M S Publishing and Consulting LLC | Counselor | 256 W. Washiington Street, Madison, GA 30650 | 2018-04-19 |
| 1558818013 | Whitney Rena Walker | Technician | 778 Cooks Hill Rd, Madison, GA 30650 | 2016-09-01 |
| 1023366739 | Xcalibur | Durable Medical Equipment & Medical Supplies | 1071 Hanover Dr, Madison, GA 30650 | 2012-08-28 |
| 1629392170 | Tammy W Rustin | Pharmacist | 1441 Eatonton Rd, Ingles Pharmacy #444, Madison, GA 30650 | 2010-03-25 |
| 1861534463 | John Frederick Mcnees II | Optometrist | 173 So Main St, Madison, GA 30650 | 2007-02-12 |
| 1780746750 | Jacqueline Lamar Gruszynski | Speech-Language Pathologist | 1760 Westminister Way, Madison, GA 30650 | 2006-12-15 |
| 1003917535 | Marilyn S Snow | Counselor | 256 W Washington St, Madison, GA 30650 | 2006-09-26 |
| Find all providers in zip 30650 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854144 | Stemina Biomarker Discovery, Inc. | Clinical Medical Laboratory | 504 S Rosa Rd Ste 150, Madison, WI 53719-1218 | 2019-10-31 |
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1174912695 | Madison Core Laboratories, LLC | Clinical Medical Laboratory | 120 W Dublin Dr Ste 105, Madison, AL 35758-3156 | 2015-01-21 |
| 1629407069 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 145 E Badger Rd Ste 100, Madison, WI 53713-2723 | 2013-11-06 |
| 1679747000 | Metabolic Analysis Labs Inc | Clinical Medical Laboratory | 1202 Ann St, Madison, WI 53713-2410 | 2008-04-16 |
| 1053492611 | M.r.diagnostic and Imaging Center,inc | Clinical Medical Laboratory | 6441 Enterprise Ln Ste 211, Madison, WI 53719-1156 | 2006-10-18 |
| 1669458386 | University of Wisconsin System Non Payroll | Clinical Medical Laboratory | 465 Henry Mall, Madison, WI 53706-1378 | 2005-12-15 |
| 1346244993 | Meriter Health Enterprises Inc. | Clinical Medical Laboratory | 36 S Brooks St, Madison, WI 53715-1304 | 2005-06-10 |
| 1487209110 | Exact Sciences Corporation | Clinical Medical Laboratory | 145 E Badger Rd Ste 100, Madison, WI 53713-2723 | 2019-08-08 |
| 1174037329 | Laboratory Corporation of America | Clinical Medical Laboratory | 3434 E Washington Ave, Madison, WI 53704-4155 | 2017-11-27 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on KIDS TIME PEDIATRICS, LLC.
| 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.