D.B.a. Sand Hill Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

D.B.A. SAND HILL PEDIATRICS

Practice address

305 Prizm Dr
Carrollton, GA 30116-5596

Phone

(770) 834-4717

Fax

(770) 838-9733

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. George L. Harkins Jr., M.D.

Title

President

Phone

(770) 834-4717

Specialties & licenses 1

Addresses

Tax ID family

Dba Sand Hill Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Douglas Pediatrics Associates Inc. P.C.

  • Pediatrics Physician
  • Douglasville, GA
  • NPI 1679797161
  NPD tax ID

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124245634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PRIZM DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301165596",
            "telephone_number": "770-834-4717",
            "fax_number": "770-838-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PRIZM DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301165596",
            "telephone_number": "770-834-4717",
            "fax_number": "770-838-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.B.A. SAND HILL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARKINS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-834-4717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Wesley Cullison, MD
• Elizabeth Gay Cullum, OT
• Pamela A Cumbie, FNP-BC
• Kim Cummings
• Fernando Sarmiento Custodio V
• Danber Inc
• Jennifer Daniel
• Kenneth M. Danis, D.P.M.
• David L. Vautin, DMD, LLC
• David P. Hartley,M.D., P.C.

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

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.