KINDERCARE PEDIATRICS OF GEORGIA (NPI# 1467063248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467063248 |
| Entity Type | Organization |
| Organization Name | KINDERCARE PEDIATRICS OF GEORGIA |
| Practice Address |
174 Royal Oak Dr Guyton GA 31312-5624 |
| Practice Telephone | 9126773765 |
| Mailing Telephone | 9122423791 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | DR. ERIC STOUT (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9122423791 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
174 ROYAL OAK DR |
| City | GUYTON |
| State | GA |
| Zip Code | 31312-5624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205461415 | Sandra Vanorman | Student in an Organized Health Care Education/Training Program | 102 Whirlwind Way, Guyton, GA 31312 | 2020-03-08 |
| 1104916667 | Amy Johnson Jacobs | Pharmacist | #1 Hidden Creek Drive, Guyton, GA 31312 | 2006-10-13 |
| 1942327325 | Plush | Assisted Living Facility | 323 Brogdon Road, Guyton, GA 31312-0425 | 2007-03-23 |
| 1811391436 | Arthur Lee | Pharmacist | 100 Wakefield Dr, Guyton, GA 31312-3947 | 2014-10-09 |
| 1992353361 | Laura Gilman | Technician | 120 Taylor Dr, Guyton, GA 31312-4039 | 2019-08-29 |
| 1689944183 | Michele Lehtma Frost | Speech-Language Pathologist | 329 Flat Bush Dr, Guyton, GA 31312-4528 | 2011-12-31 |
| 1396802609 | H and A Pharmaceutical Services Inc | Durable Medical Equipment & Medical Supplies | 1 Hidden Creek Dr, Guyton, GA 31312-4590 | 2007-01-03 |
| 1942382429 | Ricky Steven Garland | Physician Assistant | 3 Hidden Creek Dr, Guyton, GA 31312-4590 | 2006-10-20 |
| 1801290242 | Kristie Moore | Nurse Practitioner | 3 Hidden Creek Dr, Guyton, GA 31312-4590 | 2014-10-14 |
| 1225458193 | Bailey Elliott Alford | Pediatrics | 3 Hidden Creek Dr, Guyton, GA 31312-4590 | 2014-04-18 |
| Find all providers in zip 31312 | ||||
| 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 |
|---|---|---|---|---|
| 1225458193 | Bailey Elliott Alford | Pediatrics | 3 Hidden Creek Dr, Guyton, GA 31312-4590 | 2014-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025690 | Sas Medical LLC | Pediatrics | 8601 Dunwoody Pl Ste 565, Sandy Springs, GA 30350-2519 | 2020-08-24 |
| 1649880667 | Grayson Pediatrics Mobile | Pediatrics | 297 Cooper Rd Ste B, Loganville, GA 30052-2518 | 2020-08-04 |
| 1134745953 | Molly C Shields | Pediatrics | Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-17 |
| 1033734918 | Lauren Wooten Smith | Pediatrics | Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-16 |
| 1225667314 | Moyosore Mary Abere | Pediatrics | 104 Bluff Chase, Bonaire, GA 31005-3867 | 2020-04-02 |
| 1447886155 | Natalie Brown Shumate | Pediatrics | 1669 Pleasant Valley Rd Ne, Monroe, GA 30655-6211 | 2020-03-14 |
| 1356988455 | Maura Mchugh Barrett | Pediatrics | 1805 Parke Plaza Cir Ste 103, Stone Mountain, GA 30087-3646 | 2019-12-08 |
| 1629614060 | Kaley Adams | Pediatrics | 227 Torrington Blvd, Thomasville, GA 31757-3904 | 2019-11-20 |
| 1164066791 | Holly Savino | Pediatrics | 603 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4315 | 2019-11-06 |
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| Find all providers with the same taxonomy | ||||
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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.