Organization Active NPI

Peds 'R US, P.C.

  • Family Medicine Physician
  • Brunswick, GA
National Provider Identifier
1093992117
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
GA 043917 Issued in GA
Legal business name
PEDS 'R US, P.C.
Practice address
1606 Norwich St
Brunswick, GA 31520-6761
Phone
(913) 262-1039
Fax
(912) 275-8320
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Lourdes De Armas, M.D.
Title
Physician
Phone
(912) 262-1039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X GA 043917 GA Primary

Addresses

Primary practice location

1606 Norwich St
Brunswick, GA 31520-6761

Mailing address

PO Box 1098
1606 Norwich Street
Brunswick, GA 31521-1098
Phone (913) 262-1039

Other identifiers 1

IdentifierTypeStateIssuer
0085002020GMedicaidGA

National Provider Directory

National Provider Directory

Locations

1606 Norwich St
Brunswick, GA 31520
Phone (912) 262-0853

Practitioners & affiliated clinicians

Practitioners 1

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": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1093992117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1098",
            "address_2": "1606 NORWICH STREET",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315211098",
            "telephone_number": "913-262-1039",
            "fax_number": "912-275-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 NORWICH ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206761",
            "telephone_number": "913-262-1039",
            "fax_number": "912-275-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDS 'R US, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "DE ARMAS",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "912-262-1039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GA 043917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085002020G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

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