HEALTHY CHILDREN PEDIATRICS, LLC


Address: 1448 Lucile Ave Sw, Atlanta, GA 30310-1217
Phone: 5857529696

HEALTHY CHILDREN PEDIATRICS, LLC (NPI# 1699282665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699282665
Entity Type Organization
Organization Name HEALTHY CHILDREN PEDIATRICS, LLC
Practice Address 1448 Lucile Ave Sw
Atlanta
GA 30310-1217
Mailing Address 3201 Downwood Cir Nw Unit 2516
Atlanta
GA 30327-1738
Practice Telephone 5857529696
Mailing Telephone 5857529696
Enumeration Date 2017-12-29
Last Update Date 2017-12-29
Authorized Official Name TENNISHA WILLIAMS (NURSE PRACTITIONER)
Authorized Official Telephone 5857529696
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
RN261933 GA Ambulatory Health Care Facilities

Office Location

Street Address 1448 LUCILE AVE SW
City ATLANTA
State GA
Zip Code 30310-1217

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1780242420 Fortunate Amarachukwu Ejimone Student in an Organized Health Care Education/Training Program 720 Westview Dr. Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 2019-05-29
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1821583584 Onyedikachi Kenneth Michaels Student in an Organized Health Care Education/Training Program Morehouse School of Medicine / Gme, 720 Westview Dr, Sw, Atlanta, GA 30310 2018-06-26
1881185387 Precious Oghenefejiro Odunvbun Student in an Organized Health Care Education/Training Program 720 West View Dr Sw Morehouse School of Medicine/gme, Department of Medicine, Atlanta, GA 30310 2018-05-21
1598253908 Chinonyelum Doris Nwagbara Student in an Organized Health Care Education/Training Program Morehouse School of Medicine, Gme 720 Westview Drive Sw, Atlanta, GA 30310 2018-05-01
1679060552 Danielle Nicole Oliver Student in an Organized Health Care Education/Training Program Morehouse School of Medicine/gme 720 Westview Dr Sw, Atlanta, GA 30310 2018-04-17
1376049072 Ngozi Egondu Okanu Student in an Organized Health Care Education/Training Program Gme 720 Westview Dr, Sw, Atlanta, GA 30310 2018-04-02
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1811486905 Atlanta Center of Women's Choice Clinic/Center 1874 Piedmont Ave Ne Ste 580e, Atlanta, GA 30324-4975 2018-05-04
1205347424 Juliet Asher, Md, P.C. Clinic/Center 3193 Howell Mill Rd Nw Ste 104, Atlanta, GA 30327-2100 2017-10-15
1861870891 Intown Medicine Inc Clinic/Center 3200 Downwood Cir Nw Ste 680, Atlanta, GA 30327-1624 2015-05-11
1780083188 Amina Medical Consultants PC Clinic/Center 2840 Northeast Expy Ne, Suite#116, Atlanta, GA 30345-4214 2014-08-21
1902236656 Destiny Family Medical Center, LLC Clinic/Center 3654 Chattahoochee Summit Dr Se, Atlanta, GA 30339-3254 2013-11-16
1689017170 Clinica Medica Prenatal Inc Clinic/Center 4300 Buford Hwy Ne, Suite: 216, Atlanta, GA 30345-1003 2013-04-15
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Competitor

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City ATLANTA
Zip Code 30310

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Dataset Information

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.

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