Organization Active NPI

Nuestros Ninos Our Kids Pediatrics PC

Doing business as Nuestros Ninos y La Familia

  • Family Nurse Practitioner
  • Austell, GA
National Provider Identifier
1205819737
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN170709 Issued in GA
Legal business name
NUESTROS NINOS OUR KIDS PEDIATRICS PC
Doing business as
Nuestros Ninos y La Familia
Practice address
393 Maxham Rd
Suites a&B
Austell, GA 30168-5539
Phone
(770) 732-6007
Fax
(770) 732-8242
NPI assigned
Nov 29, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mary Elizabeth Cahill, CPNPNPI 1114901337
Title
Ownerceo
Phone
(770) 732-6007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X RN170709 GA Primary
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X RN083997 GA

Addresses

Primary practice location

393 Maxham Rd
Suites a&B
Austell, GA 30168-5539

Mailing address

393 Maxham Rd
Suites a&B
Austell, GA 30168-5539
Phone (770) 732-6007

Other names 1

  • Nuestros Ninos y La Familia Doing business as

National Provider Directory

National Provider Directory

Locations

393 Maxham Rd
Austell, GA 30168
Phone (770) 732-6007

393 Maxham Rd
Ste A
Austell, GA 30168
Phone (770) 732-6007

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1205819737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 MAXHAM RD",
            "address_2": "SUITES A&B",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301685539",
            "telephone_number": "770-732-6007",
            "fax_number": "770-732-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 MAXHAM RD",
            "address_2": "SUITES A&B",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301685539",
            "telephone_number": "770-732-6007",
            "fax_number": "770-732-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUESTROS NINOS OUR KIDS PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNERCEO",
        "authorized_official_telephone_number": "770-732-6007",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN170709",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN083997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nuestros Ninos y La Familia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.