PEDIATRIC MEDICINE OF CARTERSVILLE, P.C.
NPI 1851444632
Nurse Practitioner - Family in Cartersville, GA
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 11D1006513
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-24-2026
About PEDIATRIC MEDICINE OF CARTERSVILLE, P.C.
This page provides the complete NPI Profile along with additional information for Pediatric Medicine Of Cartersville, P.c., a provider established in Cartersville, Georgia operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1851444632 assigned on January 2007. The practitioner's primary taxonomy code is 363LF0000X with license number RN120899 (GA). The provider is registered as an organization and their NPI record was last updated one year ago. Pediatric Medicine Of Cartersville, P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Thomas D Ryan M.d. (Ceo)
- NPI
- 1851444632 Verify this NPI
- Provider Name
- PEDIATRIC MEDICINE OF CARTERSVILLE, P.C.
- Entity Type
- Organization
- Location Address
- 20 COLLINS DR SUITE B CARTERSVILLE, GA 30120
- Location Phone
- (770) 607-0795
- Location Fax
- (770) 607-1339
- Mailing Address
- 20 COLLINS DR SUITE B CARTERSVILLE, GA 30120
- Mailing Phone
- (770) 607-0795
- Mailing Fax
- (770) 607-1339
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-18-2007
- Last Update Date
- 09-11-2025
- Code Navigator
A nurse practitioner (NP) like Pediatric Medicine Of Cartersville, P.c. is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN120899
- License State
- GA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 042415 (GA) |
| 2 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | RN089950 (GA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 11D1006513
- Facility Type
- Physician Office
- Certificate Effective Date
- November 25, 2024
- Certificate Expiration Date
- November 24, 2026
- Laboratory Director
- THOMAS D. RYAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Medicine Of Cartersville, P.c. 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.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851444632, enumerated as an "organization" on January 18, 2007.
The provider is located at 20 COLLINS DR SUITE B CARTERSVILLE, GA 30120 and the phone number is (770) 607-0795.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
