West Lake Pediatrics, L.L.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

033194 Issued in GA

Legal business name

WEST LAKE PEDIATRICS, L.L.C.

Practice address

901 Franklin Springs St
Royston, GA 30662-3911

Phone

(706) 245-5040

Fax

(706) 245-6599

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By 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

Margaret Sherman, M.D.

Title

Owner

Phone

(706) 245-5040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073668463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 FRANKLIN SPRINGS ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306623911",
            "telephone_number": "706-245-5040",
            "fax_number": "706-245-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FRANKLIN SPRINGS ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306623911",
            "telephone_number": "706-245-5040",
            "fax_number": "706-245-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LAKE PEDIATRICS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-245-5040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "033194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.