NORTHLAKE PEDIATRIC ASSOCIATES,PC - NPI 1518174036 - Pediatrics in Stone Mountain, GA

Q: What is Northlake Pediatric Associates,pc's NPI number?

The NPI number for Northlake Pediatric Associates,pc is 1518174036. It was assigned to this organization in the NPPES registry on May 16, 2007.

Q: What is Northlake Pediatric Associates,pc's specialty?

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

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About Northlake Pediatric Associates,pc NPPES

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

NORTHLAKE PEDIATRIC ASSOCIATES,PC (NPI 1518174036) is a healthcare organization registered as a pediatrics in Stone Mountain, Georgia and active in the NPI registry since May 2007. The organization lists Delores Taliaferro, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1518174036

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameNORTHLAKE PEDIATRIC ASSOCIATES,PC

Location Address1805 PARKE PLAZA CIR, SUITE 103Stone Mountain, GA 30087-3498

Mailing Address1805 Parke Plaza Cir, Suite 103Stone Mountain, GA 30087-3498 · (770) 498-9355 · Fax (770) 498-6294

Phone(770) 498-9355

Fax(770) 498-6294

Organization SubpartNo

Authorized OfficialDelores TaliaferroOffice Manager · (770) 498-9355

Enumeration DateMay 16, 2007

Last NPPES UpdateJanuary 8, 2014

✔ NPI 1518174036 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.

1805 PARKE PLAZA CIR, Stone Mountain, GA 30087

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Other Identifiers 1

Medicaid85000926GGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

STONE MOUNTAIN FAMILY PRACTICE, PC

Family Medicine