NORTHSIDE CHILDREN'S PEDIATRIC CENTER, LLC - NPI 1396945515

Q: What is Northside Children's Pediatric Center, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Northside Children's Pediatric Center, Llc NPPES

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

NORTHSIDE CHILDREN'S PEDIATRIC CENTER, LLC (NPI 1396945515), doing business as Northside Children's Pediatrics Center, Pc, is a healthcare organization registered as a pediatrics in Canton, Georgia and active in the NPI registry since July 2007. The organization lists Stephanie Heaton Anderson, Rn-pnp, Member, And (spouse Of Md), as its authorized official.

NPPES Registry Identity

NPI1396945515

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameNORTHSIDE CHILDREN'S PEDIATRIC CENTER, LLC

Location Address391 EAST MAIN STREET, HISTORIC HAWKINS BUILDINGCanton, GA 30114-2712

Mailing Address391 East Main Street, Historic Hawkins BuildingCanton, GA 30114-2712 · (770) 720-6963 · Fax (770) 720-6965

Phone(770) 720-6963

Fax(770) 720-6965

Organization SubpartNo

Authorized OfficialStephanie Heaton AndersonRn-pnp, Member, And (spouse Of Md) · (770) 720-6963

Enumeration DateJuly 25, 2007

Last NPPES UpdateJanuary 24, 2012

✔ NPI 1396945515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · GA 54532

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.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License GA PHYSICIAN 54532 (GA)

391 EAST MAIN STREET, Canton, GA 30114

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Other Names 1

Former Legal Business NameNorthside Children's Pediatrics Center, Pc

Other Identifiers 2

Other1396945515GA · Auth Representative: Michael G. Anderson, Md, Entity Attending Physician

Medicaid629697125AGA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL GEORGE ANDERSON MD

Pediatrics

391 EAST MAIN STREET, HISTORIC HAWKINS BUILDING
CANTON, GA 30114

Cherokee County (770) 720-6963

STEPHANIE HEATON ANDERSON PNP, DNP, RNCS

Nurse Practitioner (Pediatrics)

391 EAST MAIN STREET, 1 HISTORIC HAWKINS BUILDING
CANTON, GA 30114

Cherokee County (770) 720-6963

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northside Children's Pediatric Center, LLC's NPI number?

The NPI number for Northside Children's Pediatric Center, LLC is 1396945515. It was assigned to this organization in the NPPES registry on July 25, 2007. The provider was formerly known as Northside Children's Pediatrics Center, PC.

Where is Northside Children's Pediatric Center, LLC located?

Northside Children's Pediatric Center, LLC is located at 391 East Main Street Historic Hawkins Building, Canton, GA 30114. The listed phone number is (770) 720-6963.

What is Northside Children's Pediatric Center, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Northside Children's Pediatric Center, LLC was last updated on January 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.