Providence Pediatrics, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

041796 Issued in GA

Legal business name

PROVIDENCE PEDIATRICS, LLC

Practice address

2171 Northlake Pkwy
Suite 114
Tucker, GA 30084-4104

Phone

(770) 939-7477

Fax

(770) 939-7750

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Erica Yvette Francis-Scott, M.D.NPI 1851340996

Title

Managing Member

Phone

(770) 939-7477

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.

• Erica Y Francis-Scott, MD

  • Pediatrics Physician
  • Tucker, GA
  • NPI 1851340996
  NPD (past) Authorized official

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1104086800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870527",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300870014",
            "telephone_number": "770-939-7477",
            "fax_number": "770-939-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 NORTHLAKE PKWY",
            "address_2": "SUITE 114",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844104",
            "telephone_number": "770-939-7477",
            "fax_number": "770-939-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "FRANCIS-SCOTT",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "770-939-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "041796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Price
• Elizabeth Haan Price, M.S., CCC-SLP
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• Primary Care Medical Supply of Atlanta LLC
• Private Healthcare Facilities
• Publix Super Markets, Inc
• Christopher Dewayne Pugh, PHARM.D.
• Candance Purcell, M.S.,CCC-SLP
• Amanda Purss
• Qillawasi LLC

• Primary Care Clinic/Center in Tucker, GA
• Providers in Tucker, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.