MCDONOUGH
NPI 1174251706
Pediatrics in Mcdonough, GA

Active since August 11, 2022CLIA Certified · 2 labs
350 HUNTINGTON PLACE CT, MCDONOUGH, GA 30253(770) 957-3393(770) 957-4902 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 2, 2022, Aug 11, 2022 (2 updates tracked since 2022).

About Mcdonough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCDONOUGH (NPI 1174251706) is a healthcare organization registered as a pediatrics in Mcdonough, Georgia and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through June 18, 2028 and lists Patrick Carnegie, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1174251706
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMCR HEALTH, INC.
Location Address350 HUNTINGTON PLACE CTMcdonough, GA 30253-8651
Mailing Address101 Riverfront Blvd Ste 710Bradenton, FL 34205-8812 · (941) 776-4000
Fax(770) 957-4902
Organization SubpartNo
Authorized OfficialPatrick CarnegiePresident & Ceo · (941) 776-4000
Enumeration DateAugust 11, 2022
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
NPI 1174251706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

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.

350 HUNTINGTON PLACE CT, Mcdonough, GA 30253

Other Names 1

Doing Business AsMcdonough

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0947601
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
June 19, 2026
Certificate Expiration Date
June 18, 2028
Laboratory Director
SRIKAR KUMAR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mcdonough to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pediatrics
350 HUNTINGTON PLACE CT
MCDONOUGH, GA 30253
Clinic/Center (Federally Qualified Health Center (FQHC))
350 HUNTINGTON PLACE CT
MCDONOUGH, GA 30253

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174251706, enumerated as an "organization" on August 11, 2022.

The provider is located at 350 HUNTINGTON PLACE CT MCDONOUGH, GA 30253 and the phone number is (770) 957-3393.

Pediatrics with taxonomy code 208000000X.