VICTOR G. POLIZOS MD PC (NPI# 1689901597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689901597 |
| Entity Type | Organization |
| Organization Name | VICTOR G. POLIZOS MD PC |
| Practice Address |
427 Moreland Ave Ne Ste 400 Atlanta GA 30307-1500 |
| Practice Telephone | 4045212445 |
| Practice Fax Number | 4045210067 |
| Mailing Telephone | 4045212445 |
| Mailing Fax Number | 4045210067 |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |
| Authorized Official Name | DR. VICTOR POLIZOS (OWNER) |
| Authorized Official Telephone | 4045212445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
022956 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
427 MORELAND AVE NE STE 400 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30307-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316967524 | Karen W. Bonnie | Pediatrics | 427 Moreland Ave Ne Ste 400, Atlanta, GA 30307-1500 | 2006-07-20 |
| 1922588474 | Little Five Points Pediatrics LLC | Pediatrics | 427 Moreland Ave Ne Ste 400, Atlanta, GA 30307-1500 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
| 1366062846 | Key Counseling Group, LLC | Social Worker | 675 Seminole Ave. Ne, Ste. 111, Atlanta, GA 30307 | 2020-04-24 |
| 1730683749 | Kristina Joy Betz | Pediatrics | 2105 Uppergate Drive, Atlanta, GA 30307 | 2018-03-23 |
| 1336658558 | Erin Asteghene | Specialist/Technologist | 1509 South Ponce De Leon Ave., Atlanta, GA 30307 | 2017-09-20 |
| 1689196446 | Sera Kim | Student in an Organized Health Care Education/Training Program | 1648 Pierce Drive Ne, Atlanta, GA 30307 | 2017-07-13 |
| 1164974168 | Megan Elizabeth Tarshis | Social Worker | 675 Seminole Ave., Suite 210, Atlanta, GA 30307 | 2016-10-26 |
| 1255703880 | Jennifer Browning Eastman | Speech-Language Pathologist | 1053 Oakdale Road, Atlanta, GA 30307 | 2015-10-22 |
| 1639566714 | Amit Shah | Student in an Organized Health Care Education/Training Program | 1648 Pierce Drive, Atlanta, GA 30307 | 2015-04-16 |
| 1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
| 1942568803 | Sarah Coyle Burke | Anesthesiology | 870 Inman Village Pkwy Ne, #305, Atlanta, GA 30307 | 2012-04-30 |
| Find all providers in zip 30307 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1518110451 | Pedia Doc Children's Med Ctr | Pediatrics | 3088 Campbellton Rd Sw, Atlanta, GA 30311-5410 | 2008-10-23 |
| 1992810238 | Anne S Frankel | Pediatrics | 2381 Echo Dr Ne, Atlanta, GA 30345-3524 | 2006-08-19 |
| 1316967524 | Karen W. Bonnie | Pediatrics | 427 Moreland Ave Ne Ste 400, Atlanta, GA 30307-1500 | 2006-07-20 |
| 1528047792 | Victor G Polizos | Pediatrics | 427 Moreland Ave Ne, Suite 400, Atlanta, GA 30307-1500 | 2006-01-16 |
| 1184621971 | Rajani Sopan Chaudhari | Pediatrics | 402 North Ave Ne, Atlanta, GA 30308-2504 | 2005-07-07 |
| 1912902438 | Robert Keith Shuler | Pediatrics | 105 Collier Rd Nw, Ste 4060, Atlanta, GA 30309-1765 | 2005-06-21 |
| 1316220130 | Raseefa Anwar | Pediatrics | 1875 Century Blvd Ne, Pediatrics, Atlanta, GA 30345-3325 | 2011-09-28 |
| 1992933568 | Margaret Mary Cortese | Pediatrics | 1600 Clifton Rd, Centers for Disease Control and Prevention, Atlanta, GA 30333-0000 | 2009-06-23 |
| 1730345240 | Emory Medical Care Foundation Inc | Pediatrics | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2008-08-04 |
| 1497865935 | Childfren's Medical Group, P.C. | Pediatrics | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2006-08-30 |
| Find all providers in ATLANTA | ||||
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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.