Dunwoody Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DUNWOODY PEDIATRICS

Practice address

1428 Dunwoody Village Pkwy
Dunwoody, GA 30338

Phone

(770) 394-2358

Fax

(770) 394-3055

NPI assigned

Oct 19, 2006

Last updated

Aug 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Wolfe Gordon

Title

Practice Administrator

Phone

(678) 892-8330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gloria Ana Berenson, MD

  • Pediatrics Physician
  • Dunwoody, GA
  • NPI 1497795512
  NPD (past)
• Kathryn Bland, CPNP-AC/PC

  • Pediatric Nurse Practitioner
  • Dunwoody, GA
  • NPI 1457850166
  NPD (past)
• Cortland Coxhead, MD

  • Pediatrics Physician
  • Dunwoody, GA
  • NPI 1164176426
  NPD (past)
• Terrence J Gfroerer, MD

  • Pediatrics Physician
  • Dunwoody, GA
  • NPI 1306882717
  NPD (past)
• Samuel Parks Hughes

  • Pediatrics Physician
  • Dunwoody, GA
  • NPI 1275966756
  NPD (past)
• Stephanie Jernigan, MD

  • Pediatric Nephrology Physician
  • Atlanta, GA
  • NPI 1336180991

  Pediatrics

  NPD (past)
• Linda Susan Kelly, MD

  • Pediatrics Physician
  • Dunwoody, GA
  • NPI 1144277088
  NPD (past)
• Crystal Mansfield Klemenc, FNP-BC

  • Family Nurse Practitioner
  • Cumming, GA
  • NPI 1548779408
  NPD (past)
• Mustafa H Quraishi, M.D.

  • Pediatrics Physician
  • Dunwoody, GA
  • NPI 1871556167
  NPD (past)
• Arthur Gerald Reisman, MD

  • Pediatrics Physician
  • Dunwoody, GA
  • NPI 1053352625
  NPD (past)
• Alejandro Torres, M.D.

  • Pediatrics Physician
  • Dunwoody, GA
  • NPI 1053852491
  NPD (past)
• Kelly Terrell Wilburn, MD

  • Pediatrics Physician
  • Dunwoody, GA
  • NPI 1104853373
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1063594430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 DUNWOODY VILLAGE PKWY",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-394-2358",
            "fax_number": "770-394-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 DUNWOODY VILLAGE PKWY",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-394-2358",
            "fax_number": "770-394-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNWOODY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "WOLFE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "678-892-8330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne L Dunlop, M.D.,M.P.H.
• Dunwoody Dental Group
• Dunwoody Health and Wellness Center
• Dunwoody Labs Inc
• Dunwoody Obstetrics & Gynecology, PC
• Dunwoody Personal Health Care PC
• Dunwoody Professional Medical Inc
• Dunwoody Village Clinic, PC
• Dunwoody Wellness (PrimeHealthMD)
• Anthony Michael Dupree Jr.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.