NPIMap

Organization Active NPI

North Fulton Pediatrics

  • Pediatrics Physician
  • Roswell, GA
National Provider Identifier
1083669063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NORTH FULTON PEDIATRICS
Practice address
1285 Hembree Rd
Suite 100
Roswell, GA 30076-5720
Phone
(770) 442-1050
Fax
(770) 475-1621
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Linda G. Rickey, C.O.E.
Title
Practice Administrator
Phone
(678) 893-7550

Specialties & licenses 1

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

Addresses

Primary practice location

1285 Hembree Rd
Suite 100
Roswell, GA 30076-5720

Mailing address

1285 Hembree Rd
Suite 100
Roswell, GA 30076-5720
Phone (770) 442-1050

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0692396North Fulton Pediatrics PC1285 Hembree Rd Suite 100, Roswell, GA 30076Certificate of waiverJul 14, 2027

National Provider Directory

National Provider Directory

Locations

1285 Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 893-7550

Practitioners & affiliated clinicians

Practitioners 6

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083669063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 HEMBREE RD",
            "address_2": "SUITE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765720",
            "telephone_number": "770-442-1050",
            "fax_number": "770-475-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 HEMBREE RD",
            "address_2": "SUITE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765720",
            "telephone_number": "770-442-1050",
            "fax_number": "770-475-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FULTON PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICKEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "678-893-7550",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.O.E."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • 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.
  • 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.