CONYERS PEDIATRICS, PC (NPI# 1831217157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831217157 |
| Entity Type | Organization |
| Organization Name | CONYERS PEDIATRICS, PC |
| Practice Address |
1277b Wellbrook Cir Ne Conyers GA 30012-3873 |
| Practice Telephone | 7709225745 |
| Practice Fax Number | 7709224924 |
| Mailing Telephone | 7709225745 |
| Mailing Fax Number | 7709224924 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ALICIA W SENN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7709225745 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AETNA | 4544 | 01 |
| GA | 85000351G | 05 |
| Street Address |
1277B WELLBROOK CIR NE |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801821475 | Hugo Scornik | Pediatrics | 1277b Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-07-12 |
| 1003964594 | Lynette S Jattan-cunningham | Pediatrics | 1277b Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2007-01-08 |
| 1942214382 | Nora R Patonay | Pediatrics | 1277b Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| 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 |
|---|---|---|---|---|
| 1174904148 | Jenna Slaughter Davis | Pediatrics | 1506 Klondike Rd Sw Ste 205, Conyers, GA 30094-5173 | 2015-06-15 |
| 1952689200 | Shweta Navneet Maheshwari | Pediatrics | 1277 Wellbrook Cir Ne Ste B, Conyers, GA 30012-3973 | 2011-08-03 |
| 1043496565 | Jessica Ming-chu Doyle | Pediatrics | 2213 Exchange Pl Se, Conyers, GA 30013-6723 | 2008-01-15 |
| 1124242409 | Amit M Deokar | Pediatrics | 1765 Parker Rd Se Ste 210, Conyers, GA 30094-6652 | 2007-04-11 |
| 1861515868 | Rockdale Pediatrics Healthcare, PC | Pediatrics | 2020 Honey Creek Parkway Se, Suite E, Conyers, GA 30013 | 2007-04-06 |
| 1457411605 | Kimberly Carr | Pediatrics | 2135 Eastview Pkwy Ste 100, Conyers, GA 30013-5771 | 2006-12-11 |
| 1235221946 | Stephanie E Wilson | Pediatrics | 1775 Parker Rd Se, B210, Conyers, GA 30094-6654 | 2006-09-29 |
| 1881794881 | Kenneth Chen | Pediatrics | 2213 A Exchange Place, Conyers, GA 30013-6723 | 2006-09-22 |
| 1215945183 | Bruce Beeber | Pediatrics | 1009 Milstead Ave, Ste 110, Conyers, GA 30012 | 2006-08-04 |
| 1801821475 | Hugo Scornik | Pediatrics | 1277b Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-07-12 |
| Find all providers in CONYERS | ||||
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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.