Active NPI
The Childrens Clinic
- Specialist
- Morrow, GA
National Provider Identifier
1043485584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 15242
- Legal business name
- THE CHILDRENS CLINIC
- Practice address
- 1000 Corporate Center Dr
Suite 220
Morrow, GA 30260-4180 - Phone
- (770) 960-9999
- Fax
- (770) 960-0931
- NPI assigned
- Apr 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harvey J Danits, M.D.
- Title
- President
- Phone
- (770) 960-9999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15242 | GA | Primary |
Addresses
Primary practice location
1000 Corporate Center Dr
Suite 220
Morrow, GA 30260-4180
Mailing address
1000 Corporate Center Dr
Suite 220
Morrow, GA 30260-4180
Phone (770) 960-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000509539A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1000 Corporate Center Dr
Ste 220
Morrow, GA 30260
Phone (770) 960-9999
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0003374
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Morrow, GA
- NPI 1447280276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209081600000",
"number": "1043485584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CORPORATE CENTER DR",
"address_2": "SUITE 220",
"city": "MORROW",
"state": "GA",
"postal_code": "302604180",
"telephone_number": "770-960-9999",
"fax_number": "770-960-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CORPORATE CENTER DR",
"address_2": "SUITE 220",
"city": "MORROW",
"state": "GA",
"postal_code": "302604180",
"telephone_number": "770-960-9999",
"fax_number": "770-960-0931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CHILDRENS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A",
"authorized_official_last_name": "DANITS",
"authorized_official_first_name": "HARVEY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-960-9999",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "GA",
"license": "15242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000509539A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morrow, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.