GEORGIA PEDIATRIC CARDIOLOGY (NPI# 1861485914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861485914 |
| Entity Type | Organization |
| Organization Name | GEORGIA PEDIATRIC CARDIOLOGY |
| Practice Address |
1045 Southcrest Dr Ste 220 Stockbridge GA 30281-6113 |
| Practice Telephone | 6782891988 |
| Practice Fax Number | 6782891512 |
| Mailing Telephone | 6782891988 |
| Mailing Fax Number | 6782891512 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2010-08-23 |
| Authorized Official Name | DAVID W JONES (PRESIDENT) |
| Authorized Official Telephone | 6782891988 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| Street Address |
1045 SOUTHCREST DR STE 220 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-6113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386181089 | Tina M. Grall | Nurse Practitioner | 1045 Southcrest Dr, Suite 200, Stockbridge, GA 30281-6113 | 2017-01-20 |
| 1568713634 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 1045 Southcrest Dr, Suite 200, Stockbridge, GA 30281-6113 | 2012-09-28 |
| 1457485682 | Sheila D Blake | Nurse Practitioner | 1045 Southcrest Dr, Suite 110, Stockbridge, GA 30281-6113 | 2007-03-16 |
| 1134251200 | Bijal B. Parikh | Physician Assistant | 1045 Southcrest Dr, Suite 200, Stockbridge, GA 30281-6113 | 2007-03-12 |
| 1720117989 | Kids First Pediatric Group, LLC | Pediatrics | 1045 Southcrest Dr, Suite 110, Stockbridge, GA 30281-6113 | 2007-03-05 |
| 1609893072 | Ruth R. Sarmiento | Internal Medicine | 1045 Southcrest Dr, Ste. 200, Stockbridge, GA 30281-6113 | 2006-07-16 |
| 1164465985 | Nicola C Chin | Pediatrics | 1045 Southcrest Dr, Ste 110, Stockbridge, GA 30281 | 2006-06-13 |
| 1831132646 | Elaine C Youngblood | Pediatrics | 1045 Southcrest Dr, Ste 110, Stockbridge, GA 30281 | 2006-06-13 |
| 1700838273 | Serge Geffrard | Specialist | 1045 Southcrest Dr, Ste 220, Stockbridge, GA 30281-6113 | 2006-05-16 |
| 1932158383 | Wanda J Williams | Pediatrics | 1045 Southcrest Dr, Ste 110, Stockbridge, GA 30281 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720408800 | Andrew Porter | Pediatrics | 202 Village Center Pkwy, Stockbridge, GA 30281-9044 | 2014-04-16 |
| 1689606782 | Albert Tuboku-metzger | Pediatrics | 202 Village Center Parkway, Stockbridge, GA 30281 | 2006-07-07 |
| 1679523435 | Michael E Mcconnell | Pediatrics | 202 Village Ctr Parkway, Stockbridge, GA 30281 | 2006-05-11 |
| 1245223304 | David W Jones | Pediatrics | 1045 South Crest Drive, Ste 220, Stockbridge, GA 30281-6113 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1992746929 | Deepti Singh | Pediatrics | 2069 Teron Trce, Suite 300, Dacula, GA 30019-1665 | 2006-06-09 |
| 1770521197 | Margaret J Strieper | Pediatrics | 1700 Tree Lane, Ste 330, Snellville, GA 30078 | 2006-06-04 |
| 1366491953 | Derek A Fyfe | Pediatrics | 1405 Clifton Rd, Atlanta, GA 30322 | 2006-05-09 |
| 1528017258 | William T Mahle | Pediatrics | 355 Tower Rd Ne Ste 204, Marietta, GA 30060-9413 | 2006-05-09 |
| 1548232036 | Lazaros K Kochilas | Pediatrics | 2835 Brandywine Road, Suite 300, Atlanta, GA 30341-5540 | 2006-02-07 |
| 1487008330 | Jay Patel | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2016-04-18 |
| 1487099859 | James A Nelson Jr. | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-4699 | 2013-04-30 |
| 1770846149 | Michael Phillip Fundora | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322 | 2012-06-20 |
| 1376805283 | Jonathan Yaari | Pediatrics | 4581 S Cobb Dr Se Ste 100, Smyrna, GA 30080-6906 | 2012-06-15 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.