Organization Active NPI

Lifehope Pediatric Center, LLC

  • Pediatrics Physician
  • Alpharetta, GA
National Provider Identifier
1194457481
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LIFEHOPE PEDIATRIC CENTER, LLC
Practice address
11680 Great Oaks Way
Alpharetta, GA 30022-2457
Phone
(404) 966-5788
NPI assigned
Jun 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Taryn Jones
Title
PM
Phone
(404) 966-5788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

11680 Great Oaks Way
Alpharetta, GA 30022-2457

Mailing address

11680 Great Oaks Way
Alpharetta, GA 30022-2457
Phone (404) 966-5788

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1194457481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11680 GREAT OAKS WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222457",
            "telephone_number": "404-966-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 GREAT OAKS WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222457",
            "telephone_number": "404-966-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEHOPE PEDIATRIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TARYN",
        "authorized_official_title_or_position": "PM",
        "authorized_official_telephone_number": "404-966-5788"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.