Active NPI
Claire Dudley Wilkiemeyer, M.D.
- Pediatrics Physician
- Lawrenceville, GA
National Provider Identifier
1043405046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 055578
- Practice address
- 945 River Centre PL
Suite 200
Lawrenceville, GA 30043 - Phone
- (678) 646-0404
- NPI assigned
- Sep 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 055578 | GA | Primary |
Addresses
Primary practice location
945 River Centre PL
Suite 200
Lawrenceville, GA 30043
Mailing address
945 River Centre PL
Suite 200
Lawrenceville, GA 30043
Phone (678) 646-0404
Other names 1
- Dr. Claire Frazer Dudley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055578 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hammad, Platner & Charles-May MC PC | Pediatrics | Past | Accepting new patients |
| Jill Overcash LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- cwilkiemeyer45070@choa.gadirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Atlanta, GA
- NPI 1669632485
-
dba All About Kids Pediatrics
- Pediatrics Physician
- Lawrenceville, GA
- NPI 1568664563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1043405046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 RIVER CENTRE PL",
"address_2": "SUITE 200",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30043",
"telephone_number": "678-646-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 RIVER CENTRE PL",
"address_2": "SUITE 200",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30043",
"telephone_number": "678-646-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKIEMEYER",
"first_name": "CLAIRE",
"middle_name": "DUDLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-12",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "055578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLAIRE",
"last_name": "DUDLEY",
"middle_name": "FRAZER",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lawrenceville, GA
- Ruth Diana Wile, CRNA
- Cassandra Rae Wilhelm, PT, DPT
- Kelly Jones Wilhite, CTNC
- Deborah Wilkens, FNP-C
- Gregory Wilkerson, AGACNP-BC
- Ashley Marie Wilkins
- Beverly Lynne Wilkins, PAAA
- William Bostock , DO (Dr William Bostock & Associates, LLC)
- Malvalene Williams Hursefield, RN
- Marquetta Williams Nolbert, PHLEBOTOMY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.