Stockbridge Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

023757 Issued in GA

Legal business name

STOCKBRIDGE PEDIATRICS

Practice address

239 Village Center Pkwy
Suite 110
Stockbridge, GA 30281-9024

Phone

(770) 506-0095

Fax

(770) 506-8060

NPI assigned

Jul 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marixie Leonor-Gilrane, M.D.NPI 1366499634

Title

Physician

Phone

(770) 506-0095

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Marixie Q Leonor-Gilrane, MD

  • Pediatrics Physician
  • Stockbridge, GA
  • NPI 1366499634
  NPD (past) Authorized official

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1033374103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 VILLAGE CENTER PKWY",
            "address_2": "SUITE 110",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819024",
            "telephone_number": "770-506-0095",
            "fax_number": "770-506-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 VILLAGE CENTER PKWY",
            "address_2": "SUITE 110",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819024",
            "telephone_number": "770-506-0095",
            "fax_number": "770-506-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKBRIDGE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "LEONOR-GILRANE",
        "authorized_official_first_name": "MARIXIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-506-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "023757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stockbridge Family Care Center
• Stockbridge Family Dental Group PC
• Stockbridge Family Dental Group PC
• Stockbridge Health & Wellness LLC
• Stockbridge Internal Medicine, PC
• Samantha Stoddard
• Amanda Deidre Stokes
• Marcus Stokes, OTR
• Vestina Stokes
• Kayla Stone

• Pediatrics Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.