NPIMap

Organization Active NPI

Pediatria Healthcare, LLC

Doing business as Pediatria HealthCare for Kids

  • Speech-Language Pathologist
  • Savannah, GA
National Provider Identifier
1023315694
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
CCLC-20996 Issued in GA
Legal business name
PEDIATRIA HEALTHCARE, LLC
Doing business as
Pediatria HealthCare for Kids
Practice address
25 Chatham Ctr S
Savannah, GA 31405-1302
Phone
(912) 447-5437
Fax
(912) 447-9584
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Joseph D. Sansone
Title
Ceo/Chairman
Phone
(770) 840-1966

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X CCLC-20996 GA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X CCLC-20996 GA Primary

Addresses

Primary practice location

25 Chatham Ctr S
Savannah, GA 31405-1302

Mailing address

5185 Peachtree Pkwy
Suite 350
Norcross, GA 30092-6542
Phone (770) 840-1966

Other names 1

  • Pediatria HealthCare for Kids Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatria Healthcare LLC26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

25 Chatham Ctr S
Savannah, GA 31405
Phone (912) 447-5437

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1023315694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 PEACHTREE PKWY",
            "address_2": "SUITE 350",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300926542",
            "telephone_number": "770-840-1966",
            "fax_number": "770-840-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHATHAM CTR S",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051302",
            "telephone_number": "912-447-5437",
            "fax_number": "912-447-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIA HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "SANSONE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO/CHAIRMAN",
        "authorized_official_telephone_number": "770-840-1966"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "CCLC-20996",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "CCLC-20996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatria HealthCare for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.