Georgetown Pediatrics

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

GEORGETOWN PEDIATRICS

Practice address

11 Dunwoody Park
Suite 190
Dunwoody, GA 30338-7408

Phone

(770) 392-6555

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Leslie Moseley

Title

Practice Administrator

Phone

(770) 392-6555

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Lauren Reddersen Donkar, PNP

  • Pediatric Nurse Practitioner
  • Dunwoody, GA
  • NPI 1700163235
  NPD (past)
• Douglas L Williams, MD

  • Pediatrics Physician
  • Alpharetta, GA
  • NPI 1588622898
  NPD (past)

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1033428610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DUNWOODY PARK",
            "address_2": "SUITE 190",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387408",
            "telephone_number": "770-392-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DUNWOODY PARK",
            "address_2": "SUITE 190",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387408",
            "telephone_number": "770-392-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-392-6555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John McCollum Garrett, D.D.S.
• Lindsey Monet Garrett
• Christina Tyree Gary, FNP
• Robert Paul Gaynes, MD
• Gem Home Care LLC
• Georgia Chiropractic Group, LLC
• Georgia Clinic, PC
• Georgia CVS Pharmacy, L.L.C.
• Georgia Optometry Group Assoc. P.C.
• Terrence J Gfroerer, MD

• All providers in Dunwoody, GA
• Pediatric Adolescent Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.