Sunflower Pediatrics LLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN172992NP Issued in GA

Legal business name

SUNFLOWER PEDIATRICS LLC

Practice address

5422 Cumming Hwy
Sugar Hill, GA 30518-6906

Phone

(404) 580-8022

Fax

(770) 831-1119

NPI assigned

Jul 14, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Denise S Vaz, NPNPI 1225222524

Title

Manager

Phone

(404) 580-8022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise S Vaz, C-PNP

  • Pediatric Nurse Practitioner
  • Cumming, GA
  • NPI 1225222524

  Pediatrics

  NPD (past) Authorized official
• Marc-Yriane Borieux, M.D.

  • Pediatrics Physician
  • Hoschton, GA
  • NPI 1700095742
  NPD (past)
• Aneidra N Leysath, M.D.

  • Pediatrics Physician
  • Pensacola, FL
  • NPI 1962658179
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1003269002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 CUMMING HWY",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "30518",
            "telephone_number": "404-580-8022",
            "fax_number": "770-831-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 CUMMING HWY",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305186906",
            "telephone_number": "404-580-8022",
            "fax_number": "770-831-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "VAZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-580-8022",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN172992NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003142527C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Ericka Spencer, MPT, PRC
• Spinalife, Inc.
• Sugar Hill Family and Cosmetic Dentistry
• Sugar Hill Smiles, Inc.
• Sugar Hill Spine and Wellness
• Amanda J Susten, PT
• Sweet City Smiles
• Sweet View Optique Inc
• Kathryn Tatro
• Brian Tavera, DC

• Pediatric Nurse Practitioner in Sugar Hill, GA
• Providers in Sugar Hill, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.