Decatur Pediatrics Group - Covington

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DECATUR PEDIATRICS GROUP - COVINGTON

Practice address

10246 Industrial Blvd NE
Covington, GA 30014-1476

Phone

(404) 296-7133

NPI assigned

Oct 15, 2013

Last updated

Oct 15, 2013By 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

Lynette Wilson-Phillips, MDNPI 1992769269

Title

Physician/Manager

Phone

(404) 296-7133

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Lynette Rochelle Wilson-Phillips, M.D.

  • Pediatrics Physician
  • Clarkston, GA
  • NPI 1992769269
  Authorized official Same address or phone

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1093143810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10246 INDUSTRIAL BLVD NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141476",
            "telephone_number": "404-296-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10246 INDUSTRIAL BLVD NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141476",
            "telephone_number": "404-296-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR PEDIATRICS GROUP - COVINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "WILSON-PHILLIPS",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "PHYSICIAN/MANAGER",
        "authorized_official_telephone_number": "404-296-7133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Darby, BACHELOR OF SOCIAL W
• Mahlon Lynn Davidson, RPH
• Sarah Davis, PSY.D.
• Yverose De St. Pierre
• Stephen Wesley Dean, D.M.D.
• Laurie Ann Deemer, DMD
• Thamani Azizi Delgardo, RN
• Voncille Demesa, PHARMD
• Jill Treadwell Denman, NP
• Aleslie Dennis, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.