Organization Active NPI

Rainbow Pediatric Clinic, LLC

  • Pediatric Adolescent Medicine Physician
  • Cumming, GA
National Provider Identifier
1144465147
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
45591 Issued in GA
Legal business name
RAINBOW PEDIATRIC CLINIC, LLC
Practice address
1670 Buford Hwy
Cumming, GA 30041-6585
Phone
(770) 781-1606
NPI assigned
Dec 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Authorized official

Name
Dr. Aarti Ganju Raina, MDNPI 1316906043
Title
Owner
Phone
(770) 781-1606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 45591 GA Primary

Addresses

Primary practice location

1670 Buford Hwy
Cumming, GA 30041-6585

Mailing address

1670 Buford Hwy
Cumming, GA 30041-6585
Phone (770) 781-1606

National Provider Directory

National Provider Directory

Locations

1735 Buford Hwy
Ste 225
Cumming, GA 30041

1670 Buford Hwy
Cumming, GA 30041
Phone (470) 239-8005

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": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1144465147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 BUFORD HWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416585",
            "telephone_number": "770-781-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 BUFORD HWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416585",
            "telephone_number": "770-781-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW PEDIATRIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "RAINA",
        "authorized_official_first_name": "AARTI",
        "authorized_official_middle_name": "GANJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-781-1606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "45591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.