Dacula Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

058358 Issued in GA

Legal business name

DACULA PEDIATRICS, LLC

Practice address

3625 Braselton Hwy
Suite 202
Dacula, GA 30019-1014

Phone

(770) 856-2363

Fax

(770) 809-5055

NPI assigned

Jan 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sarvpreet Kaur, MDNPI 1629191465

Title

Owner

Phone

(678) 517-5607

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Sarvpreet Kaur, MD

  • Pediatrics Physician
  • Norcross, GA
  • NPI 1629191465
  NPD (past) Authorized official

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483833600000",
    "number": "1033655576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3234 ISLESWORTH TRCE",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976288",
            "telephone_number": "678-417-9509",
            "fax_number": "770-809-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 BRASELTON HWY",
            "address_2": "SUITE 202",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191014",
            "telephone_number": "770-856-2363",
            "fax_number": "770-809-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DACULA PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-08",
        "last_updated": "2017-01-08",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "SARVPREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-517-5607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "058358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI NUMBER",
            "identifier": "1629191465",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904800152B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dacula Chiropractic Center
• Dacula Family Practice Inc
• Dacula Health and Wellness,LLC
• Dacula Medicine Center (Dacula Pharmacy)
• Dacula Midwifery Services LLC
• Dacula Primary Care, LLC (Dacula primary Care and Associates)
• Ruqaiya S Dalal
• Kim Nga Dang
• Daniels Surgical Services
• Nikki Daniels

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; 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.