NPIMap

Organization Active NPI

Holcomb Bridge Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Norcross, GA
National Provider Identifier
1023141868
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
HOLCOMB BRIDGE PEDIATRICS
Practice address
3957 Holcomb Bridge Rd
Suite 100
Norcross, GA 30092-2207
Phone
(770) 449-9334
Fax
(770) 449-9319
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Nina Batson Fort
Title
Office Manager
Phone
(770) 449-9334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X GA Primary

Addresses

Primary practice location

3957 Holcomb Bridge Rd
Suite 100
Norcross, GA 30092-2207

Mailing address

3957 Holcomb Bridge Rd
Suite 100
Norcross, GA 30092-2207
Phone (770) 449-9334

National Provider Directory

National Provider Directory

Locations

3957 Holcomb Bridge Rd
Ste 100
Norcross, GA 30092
Phone (770) 449-9334

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023141868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3957 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922207",
            "telephone_number": "770-449-9334",
            "fax_number": "770-449-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3957 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922207",
            "telephone_number": "770-449-9334",
            "fax_number": "770-449-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLCOMB BRIDGE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORT",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "BATSON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-449-9334",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.