PEDIATRIC ASSOCIATES OF NORTH ATLANTA, P.C. (NPI# 1184763062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184763062 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES OF NORTH ATLANTA, P.C. |
| Practice Address |
10700 Medlock Bridge Rd Ste 104 Duluth GA 30097-8456 |
| Practice Telephone | 7704769885 |
| Practice Fax Number | 7704768482 |
| Mailing Telephone | 7704769885 |
| Mailing Fax Number | 7704768482 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JIMMY BROWN (PRESIDENT) |
| Authorized Official Telephone | 7704769885 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
10700 MEDLOCK BRIDGE RD STE 104 |
| City | DULUTH |
| State | GA |
| Zip Code | 30097-8456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871591412 | Jimmy Sheppard Brown | Specialist | 10700 Medlock Bridge Rd, Ste 104, Duluth, GA 30097-8456 | 2005-07-08 |
| 1578976320 | True Results Georgia | Specialist | 10700 Medlock Bridge Rd, Suite 204, Duluth, GA 30097-8456 | 2014-06-10 |
| 1134553464 | Margaret Sutcliffe | Physical Therapist | 10700 Medlock Bridge Rd, Suite 105, Duluth, GA 30097-8456 | 2013-08-22 |
| 1982983326 | Allergy and Asthma Institute | Allergy & Immunology | 10700 Medlock Bridge Rd, Suite 102, Duluth, GA 30097-8456 | 2011-08-16 |
| 1366721706 | Pediatric Endocrine Specialists of Georgia | Pediatrics | 10700 Medlock Bridge Rd, Suite 102, Duluth, GA 30097-8456 | 2011-08-16 |
| 1639497936 | Christi Marie The | Physical Therapist | 10700 Medlock Bridge Rd, Suite 105, Duluth, GA 30097-8456 | 2010-05-11 |
| 1942474481 | John R Stripling IIi Md LLC | Urology | 10700 Medlock Bridge Rd, Suite 204, Duluth, GA 30097-8456 | 2008-04-16 |
| 1891990743 | Paul Jerome Bernard | Pediatrics | 10700 Medlock Bridge Rd, Suite 102, Duluth, GA 30097-8456 | 2007-06-20 |
| 1063620037 | Meadows Hand and Physical Therapy Clinic | Physical Therapist | 10700 Medlock Bridge Rd, Ste 105, Duluth, GA 30097-8455 | 2007-05-21 |
| 1639289408 | Manisha Z Kapasi | Physical Therapist | 10700 Medlock Bridge Rd, Ste 105, Duluth, GA 30097 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538583976 | Laurie Boden | Pediatrics | 3645 Howell Ferry Road, Duluth, GA 30096 | 2014-02-05 |
| 1962763359 | Ann Adair Cody Simones | Pediatrics | 502 East Second Street, Duluth, MN 55805-1951 | 2012-06-03 |
| 1922374297 | Gc Duluth Pediatrics, Inc. | Pediatrics | 3435 Duluth Park Ln Ste A, Duluth, GA 30096-3259 | 2012-03-30 |
| 1215138524 | Cooper Pediatrics | Pediatrics | 3645 Howell Ferry Rd, Suite A, Duluth, GA 30096-3179 | 2007-05-31 |
| 1215018023 | Janet Jung | Pediatrics | 2518 Duluth Hwy, Suite 102, Duluth, GA 30097-4200 | 2006-10-18 |
| 1437167939 | Susan D Smith | Pediatrics | 3645 A Howell Ferry Rd, Duluth, GA 30096 | 2006-08-03 |
| 1457383788 | Jeffrey D Cooper | Pediatrics | 3645a Howell Ferry Road, Duluth, GA 30096 | 2006-07-07 |
| 1851321962 | Gail F Smith | Pediatrics | 3645 A Howell Ferry Road, Duluth, GA 30096 | 2006-07-04 |
| 1205886074 | Kathryn M Benson | Pediatrics | 3497 Duluth Park Lane, Ste 200, Duluth, GA 30096 | 2006-05-11 |
| 1790740249 | Teresa Marie Petros | Pediatrics | 2660 Satellite Blvd, Duluth, GA 30096-5803 | 2006-04-19 |
| Find all providers in DULUTH | ||||
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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.