Stonecrest Pediatric & Adult Medicine, Inc,

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

STONECREST PEDIATRIC & ADULT MEDICINE, INC,

Practice address

8225 Mall Pkwy
Suite 250
Lithonia, GA 30038-6994

Phone

(404) 297-1818

Fax

(404) 297-1629

NPI assigned

Jun 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Earl Pitter

Title

Business Manager

Phone

(404) 297-1818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1043574700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 MALL PKWY",
            "address_2": "SUITE 250",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386994",
            "telephone_number": "404-298-1818",
            "fax_number": "404-298-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 MALL PKWY",
            "address_2": "SUITE 250",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386994",
            "telephone_number": "404-297-1818",
            "fax_number": "404-297-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONECREST PEDIATRIC & ADULT MEDICINE, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "PITTER",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "404-297-1818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stewart Community Services, Inc.
• Mara Stewart, MEDICAL BILLING
• Ronnie Lynn Stewart, DDS
• Vanessa Stillings, RN, BSN
• Stonecrest Denture Center
• Stoneview PCH, LLC
• Debra Ann Stover, NP-C
• Ramona S Styles-Burrows, MD
• Supreme Quality Home Care LLC
• Cieria Swain

• Primary Care Clinic/Center in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.