Excellent Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

055771 Issued in GA

Legal business name

EXCELLENT PEDIATRICS

Practice address

333 Alcovy St
Suite 5
Monroe, GA 30655-2180

Phone

(678) 807-2230

NPI assigned

Apr 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Roger Morales, MDNPI 1043203227

Title

Owner

Phone

(678) 807-2241

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CJDEAD

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.

• Roger Leon Morales, MD

  • Pediatrics Physician
  • Monroe, GA
  • NPI 1043203227
  NPD (past) Authorized official

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1104141837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306550747",
            "telephone_number": "678-807-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ALCOVY ST",
            "address_2": "SUITE 5",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552180",
            "telephone_number": "678-807-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-807-2241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "055771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natavia Durham
• Nicole Dycus, CPNP-PC
• Jodi Butler Eason, M.ED., CCC-SLP
• Margaret Ellington, CPNP, MSN
• Brandy P. Elvington, CRNA
• Exceptional Community Services, Inc
• Exceptional Community Services, Inc
• Exceptional Community Services, Inc.
• F Carey Host Home
• Family Providence Home Care LLC

• Primary Care Clinic/Center in Monroe, GA
• Providers in Monroe, 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 Apr 6, 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.