STEPHANIE H KONG (NPI# 1508851908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508851908 |
| Entity Type | Individual |
| Full Name | STEPHANIE H KONG |
| Credential | M.D. |
| Practice Address |
210 Hannahs Mill Rd Thomaston GA 30286-2801 |
| Practice Telephone | 7069380990 |
| Mailing Telephone | 7069380990 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2014-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 039388 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 956718471B | 05 | |
| GA | 956718471F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993434 | Stephanie Kong | Student in an Organized Health Care Education/Training Program | 651 N State St Ste 5, San Jacinto, CA 92583-6574 | 2020-05-14 |
| 1235691353 | Stephanie Kong | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 509, Mineola, NY 11501 | 2019-04-05 |
| 1083091748 | Stephanie Kong | Obstetrics & Gynecology | 8700 Beverly Blvd Ste 3622, Cedars-sinai Department of Ob/gyn, West Hollywood, CA 90048-1804 | 2015-05-01 |
| 1386728574 | Stephanie K Kong | Psychologist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-10-24 |
| Street Address |
210 HANNAHS MILL RD |
| City | THOMASTON |
| State | GA |
| Zip Code | 30286-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881229045 | Erica Denise Ferrell | Nurse Practitioner | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2020-03-09 |
| 1437713112 | Jeremiah A D'annunzio | Pediatrics | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2019-04-27 |
| 1053684936 | Zoe Center for Pediatric & Adolescent Health, LLC | Pediatrics | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2012-02-22 |
| 1932273786 | Jacqueline Moyerman | Psychologist | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2006-11-20 |
| 1780768390 | Karen S Harper | Physician Assistant | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2006-10-24 |
| 1447282637 | Linda Ruth Gordon | Pediatrics | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190670 | Careconnect Health, Inc. | Clinic/Center | 101 Deluxe Circle, Suite B, Thomaston, GA 30286 | 2015-07-24 |
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1841301900 | Kenneth Murray Deen | Ophthalmology | 232 Cherokee Road, Thomaston, GA 30286 | 2006-08-31 |
| 1659489987 | William B Gardner | Dentist | 507 W Gordon St, Thomaston, GA 30286 | 2006-08-28 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| Find all providers in zip 30286 | ||||
| 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 |
|---|---|---|---|---|
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1437713112 | Jeremiah A D'annunzio | Pediatrics | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2019-04-27 |
| 1881850139 | Thomaston Pediatrics PC | Pediatrics | 403 W Gordon St, Thomaston, GA 30286-3423 | 2008-08-05 |
| 1689884694 | Pediatric Associates of Thomaston, Inc | Pediatrics | 331 W Main St, Thomaston, GA 30286-3502 | 2007-05-22 |
| 1538242169 | Kathy E Mansfield | Pediatrics | 331 W Main St, Thomaston, GA 30286-3502 | 2006-10-24 |
| 1447282637 | Linda Ruth Gordon | Pediatrics | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025690 | Sas Medical LLC | Pediatrics | 8601 Dunwoody Pl Ste 565, Sandy Springs, GA 30350-2519 | 2020-08-24 |
| 1467063248 | Kindercare Pediatrics of Georgia | Pediatrics | 174 Royal Oak Dr, Guyton, GA 31312-5624 | 2020-08-13 |
| 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 |
| 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.