Organization Active NPI

Children'S Clinic, LLP

  • Pediatrics Physician
  • Dublin, GA
National Provider Identifier
1083610620
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
000245572B Issued in GA
Legal business name
CHILDREN'S CLINIC, LLP
Practice address
2406 Bellevue Rd
BLDG 10
Dublin, GA 31021-6105
Phone
(478) 272-2623
Fax
(478) 272-9984
NPI assigned
Jun 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Nelson S Carswell Jr., M.D.
Title
Managing Partner
Phone
(478) 272-2623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 000245572B GA Primary

Addresses

Primary practice location

2406 Bellevue Rd
BLDG 10
Dublin, GA 31021-6105

Mailing address

2406 Bellevue Rd
BLDG 10
Dublin, GA 31021-6105
Phone (478) 272-2623

Other identifiers 1

IdentifierTypeStateIssuer
300021882AMedicaidGA

National Provider Directory

National Provider Directory

Locations

2406 Bellevue Rd
Bldg 10
Dublin, GA 31021
Phone (478) 272-2623

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1083610620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 BELLEVUE RD",
            "address_2": "BLDG 10",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216105",
            "telephone_number": "478-272-2623",
            "fax_number": "478-272-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 BELLEVUE RD",
            "address_2": "BLDG 10",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216105",
            "telephone_number": "478-272-2623",
            "fax_number": "478-272-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "CARSWELL",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "478-272-2623",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "000245572B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300021882A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.