THE PEDIATRIC CENTER OF STONE MOUNTAIN - NPI 1699139675

Q: What is The Pediatric Center Of Stone Mountain's specialty?

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

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About The Pediatric Center Of Stone Mountain NPPES

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

THE PEDIATRIC CENTER OF STONE MOUNTAIN (NPI 1699139675) is a healthcare organization registered as a pediatrics in Stone Mountain, Georgia and active in the NPI registry since April 2016. The organization lists Alicia Chadwick, Medical Home Special Projects, as its authorized official.

NPPES Registry Identity

NPI1699139675

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameTHE PEDIATRIC CENTER OF STONE MOUNTAIN

Location Address5405 MEMORIAL DR STE DStone Mountain, GA 30083-3236

Mailing Address5405 Memorial Dr Ste DStone Mountain, GA 30083-3236 · (404) 296-3800

Phone(404) 296-3800

Organization SubpartNo

Authorized OfficialAlicia ChadwickMedical Home Special Projects · (678) 763-2615

Enumeration DateApril 6, 2016

✔ NPI 1699139675 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.

5405 MEMORIAL DR STE D, Stone Mountain, GA 30083

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Other Identifiers 1

Medicaid300021562AGA

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 4

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

MR. JUSTIN STEWART KITCHENS NP-C

Nurse Practitioner (Family)

5405 MEMORIAL DR STE D
STONE MOUNTAIN, GA 30083

Dekalb County (404) 296-3800

MRS. LAURA RENAE WILSON MSN, APRN-BC

Nurse Practitioner (Primary Care)

5405 MEMORIAL DR STE D
STONE MOUNTAIN, GA 30083

Dekalb County (404) 296-3800

LUCINDA JOHNSON SELLERS CPNP

Nurse Practitioner (Pediatrics)

5405 MEMORIAL DR STE D
STONE MOUNTAIN, GA 30083

Dekalb County (404) 296-3800

LAURA LYNN HUDSON-YEDVOBNICK PA

Physician Assistant

5405 MEMORIAL DR STE D
STONE MOUNTAIN, GA 30083

Dekalb County (404) 296-3800

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 The Pediatric Center Of Stone Mountain's NPI number?

The NPI number for The Pediatric Center Of Stone Mountain is 1699139675. It was assigned to this organization in the NPPES registry on April 6, 2016.

Where is The Pediatric Center Of Stone Mountain located?

The Pediatric Center Of Stone Mountain is located at 5405 Memorial Dr Ste D, Stone Mountain, GA 30083. The listed phone number is (404) 296-3800.

What is The Pediatric Center Of Stone Mountain'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 The Pediatric Center Of Stone Mountain was last updated on April 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.