KIDS CHOICE PEDIATRICS,LLC (NPI# 1750509634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750509634 |
| Entity Type | Organization |
| Organization Name | KIDS CHOICE PEDIATRICS,LLC |
| Other Organization Name | VENKATESWARA RAO DIKKALA, M.D. |
| Practice Address |
2775 Cruse Rd Suite 1801 Lawrenceville GA 30044-7140 |
| Practice Telephone | 6783809199 |
| Practice Fax Number | 7709350199 |
| Mailing Telephone | 6783809199 |
| Mailing Fax Number | 7709350199 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. VENKATESWARA RAO DIKKALA (MEMBER) |
| Authorized Official Telephone | 6783809199 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
048226 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | INDIVIDUAL NPI NUMBER | 1023076387 | 01 |
| Other Name | Type Code |
|---|---|
| Venkateswara Rao Dikkala, M.D. | Doing Business As Name - Organization |
| Street Address |
2775 CRUSE RD SUITE 1801 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-7140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518938091 | Jacquline Naudia Hayles-patterson | Obstetrics & Gynecology | 2775 Cruse Rd, Suite 2101, Lawrenceville, GA 30044-7140 | 2006-01-31 |
| 1972085223 | Amber Nicole Matthews | Physician Assistant | 2775 Cruse Rd, Lawrenceville, GA 30044-7140 | 2018-09-04 |
| 1497021489 | Family Guidance LLC | Point of Service | 2775 Cruse Rd, Suite 1601, Lawrenceville, GA 30044-7140 | 2012-03-24 |
| 1871863159 | Janet M Waring | Counselor | 2775 Cruse Rd, Suite 1601, Lawrenceville, GA 30044-7140 | 2012-01-04 |
| 1275854002 | Bethesda Medical Equipment & Supply Co, Inc | Durable Medical Equipment & Medical Supplies | 2775 Cruse Rd, Ste 1603, Lawrenceville, GA 30044-7140 | 2010-06-16 |
| 1407095243 | Responsible Child, LLC | Community/Behavioral Health | 2775 Cruse Rd, Suite 1601, Lawrenceville, GA 30044-7140 | 2009-02-18 |
| 1295906709 | Signature Women's Healthcare | Obstetrics & Gynecology | 2775 Cruse Rd, Ste 2101, Lawrenceville, GA 30044-7140 | 2008-03-13 |
| 1275736258 | Jas Links Health Care Services and Medical Supply | Home Health | 2775 Cruse Rd, Ste 1901, Lawrenceville, GA 30044-7140 | 2007-06-07 |
| 1447399316 | Solutions of Life, LLC | Social Worker | 2775 Cruse Rd, Ste 303, Lawrenceville, GA 30044-7140 | 2007-02-06 |
| 1821151754 | Franklin C Ezeoke | Durable Medical Equipment & Medical Supplies | 2775 Cruse Rd, Ste 1901, Lawrenceville, GA 30044-7140 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1518438555 | Zenia 2 LLC, Dba Brite Life Primary Care | Clinic/Center | 930 New Hope Rd Ste 10, Lawrenceville, GA 30045-3837 | 2018-12-17 |
| 1699131888 | Zenia 2 LLC, Dba Sugarloaf Primary Care | Clinic/Center | 4835 Sugarloaf Pkwy Suite 300, Lawrenceville, GA 30044 | 2016-01-05 |
| 1548517253 | Alpha Medical Clinic | Clinic/Center | 5 Hurricane Shoals Rd Ne Ste A, Lawrenceville, GA 30046-4583 | 2012-08-13 |
| 1417238106 | Concentra Primary Care Pa | Clinic/Center | 3330 Sugarloaf Parkway, Suite Ol1d, Lawrenceville, GA 30044 | 2011-09-08 |
| 1417504028 | Ballard Chiropractic & Associates LLC | Clinic/Center | 1715 Buford Dr, Lawrenceville, GA 30043-3213 | 2019-08-20 |
| 1487120820 | Comprehensive Primary Care LLC | Clinic/Center | 761 Walther Road, Suite 200, Lawrenceville, GA 30046 | 2018-10-23 |
| 1811422322 | Hillandale Primary Care | Clinic/Center | 1950 Riverside Pkwy, Suite # 100, Lawrenceville, GA 30043-5918 | 2017-04-23 |
| 1588022438 | Gwinnett Family Medicine and Geriatrics | Clinic/Center | 706 Grayson Hwy, Suite 215, Lawrenceville, GA 30046-5736 | 2016-02-08 |
| 1407220775 | Eugene Medical Clinic | Clinic/Center | 248 E Crogan St Ste 2, Lawrenceville, GA 30046-5069 | 2015-11-24 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
Please comment or provide details below to improve the information on KIDS CHOICE PEDIATRICS,LLC.
| 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.