CARTERSVILLE PEDIATRIC ASSOCIATES (NPI# 1942326491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942326491 |
| Entity Type | Organization |
| Organization Name | CARTERSVILLE PEDIATRIC ASSOCIATES |
| Practice Address |
958 Joe Frank Harris Pkwy Se Suite 101 Cartersville GA 30120-2174 |
| Mailing Address |
Po Box 200429 Cartersville GA 30120-9008 |
| Practice Telephone | 7703863011 |
| Practice Fax Number | 7703869451 |
| Mailing Telephone | 7703863011 |
| Mailing Fax Number | 7703869451 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-12-02 |
| Authorized Official Name | WILLIAM R PAYNE (CFO) |
| Authorized Official Telephone | 7703863011 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00328413D | 05 | |
| GA | 0003129535A | 05 | |
| GA | 00214475D | 05 | |
| GA | 003174076A | 05 | |
| GA | 00852024G | 05 |
| Street Address |
958 JOE FRANK HARRIS PKWY SE SUITE 101 |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-2174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154378198 | Cartersville Ob/gyn Associates | Obstetrics & Gynecology | 958 Joe Frank Harris Pkwy Se, Suite 102, Cartersville, GA 30120-2158 | 2006-05-27 |
| 1932731239 | Shannon T Trombley | Counselor | 958 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2174 | 2020-02-05 |
| 1235603002 | Stephanie Christine Sky | Nurse Practitioner | 958 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2174 | 2019-01-15 |
| 1730548017 | Claire A Dellecker | Clinical Nurse Specialist | 958 Joe Frank Harris Pkwy Se, Suite 101, Cartersville, GA 30120-2174 | 2016-02-16 |
| 1871846170 | Theresa Hamrick | Nurse Practitioner | 958 Joe Frank Harris Pkwy Se, Suite 101, Cartersville, GA 30120-2158 | 2012-10-24 |
| 1982801775 | Pamela Lynn Honeycutt | Physical Therapy Assistant | 958 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2158 | 2007-06-27 |
| 1225255581 | Kathryn Lynn Riggs | Physical Therapist | 958 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2158 | 2007-04-19 |
| 1609905959 | Nia Michelle Sipp | Psychiatry & Neurology | 958 Joe Frank Harris Pkwy Se, Ste 103, Cartersville, GA 30120-2174 | 2007-03-04 |
| 1609933829 | Cartersville Occupational Medicine Center, LLC | Clinic/Center | 958 Joe Frank Harris Pkwy Se, Suite 100, Cartersville, GA 30120-2158 | 2007-01-03 |
| 1245250422 | Donald Franklin Brown Jr. | Specialist/Technologist | 958 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2158 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| 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 |
|---|---|---|---|---|
| 1508343021 | Jeannette Chua Cocabo | Pediatrics | 20 Collins Dr Ste B, Cartersville, GA 30120-8533 | 2018-07-26 |
| 1043320138 | Thomas Donald Ryan | Pediatrics | 20 Collins Dr, Suite B, Cartersville, GA 30120-2486 | 2006-08-30 |
| 1952359325 | Richard R. Young | Pediatrics | 970 Joe Frank Harris Pkwy, Suite 350, Cartersville, GA 30120 | 2006-05-05 |
| 1699068973 | Preston Heath Leonard | Pediatrics | 200 Gentilly Blvd, Cartersville, GA 30120-8504 | 2011-05-19 |
| 1851444632 | Pediatric Medicine of Cartersville, P.C. | Pediatrics | 20 Collins Dr, Suite B, Cartersville, GA 30120-2486 | 2007-01-18 |
| 1629134606 | Tammy Watkins Williams | Pediatrics | 200 Gentilly Blvd, Cartersville, GA 30120-8504 | 2006-12-28 |
| 1184784464 | Katherine Johnson Fields | Pediatrics | 200 Gentilly Blvd, Cartersville, GA 30120-8504 | 2006-12-09 |
| 1659310357 | William R Payne | Pediatrics | 970 Joe Frank Harris Pkwy, Ste 350, Cartersville, GA 30120 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025690 | Sas Medical LLC | Pediatrics | 8601 Dunwoody Pl Ste 565, Sandy Springs, GA 30350-2519 | 2020-08-24 |
| 1467063248 | Kindercare Pediatrics of Georgia | Pediatrics | 174 Royal Oak Dr, Guyton, GA 31312-5624 | 2020-08-13 |
| 1649880667 | Grayson Pediatrics Mobile | Pediatrics | 297 Cooper Rd Ste B, Loganville, GA 30052-2518 | 2020-08-04 |
| 1134745953 | Molly C Shields | Pediatrics | Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-17 |
| 1033734918 | Lauren Wooten Smith | Pediatrics | Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-16 |
| 1225667314 | Moyosore Mary Abere | Pediatrics | 104 Bluff Chase, Bonaire, GA 31005-3867 | 2020-04-02 |
| 1447886155 | Natalie Brown Shumate | Pediatrics | 1669 Pleasant Valley Rd Ne, Monroe, GA 30655-6211 | 2020-03-14 |
| 1356988455 | Maura Mchugh Barrett | Pediatrics | 1805 Parke Plaza Cir Ste 103, Stone Mountain, GA 30087-3646 | 2019-12-08 |
| 1629614060 | Kaley Adams | Pediatrics | 227 Torrington Blvd, Thomasville, GA 31757-3904 | 2019-11-20 |
| 1164066791 | Holly Savino | Pediatrics | 603 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4315 | 2019-11-06 |
| Find all providers with the same taxonomy | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
Please comment or provide details below to improve the information on CARTERSVILLE PEDIATRIC ASSOCIATES.
| 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.