NPIMap

Organization Active NPI

Johns Creek Pediatrics

  • Pediatrics Physician
  • Suwanee, GA
National Provider Identifier
1215177753
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
031098 Issued in GA
Legal business name
JOHNS CREEK PEDIATRICS
Practice address
4395 Johns Creek Pkwy
Suite 150
Suwanee, GA 30024-6048
Phone
(770) 814-1160
Fax
(770) 814-1173
NPI assigned
Feb 24, 2009
Last updated
Feb 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Dr. Harriette S Perlstein, MDNPI 1003850777
Title
Pediatrician
Phone
(770) 814-1160

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 031098 GA Primary

Addresses

Primary practice location

4395 Johns Creek Pkwy
Suite 150
Suwanee, GA 30024-6048

Mailing address

4395 Johns Creek Pkwy
Suite 150
Suwanee, GA 30024-6048
Phone (770) 814-1160

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0992004Johns Creek Pediatrics PC4395 Johns Creek Parkway Suite 150, Suwanee, GA 30024Certificate of waiverApr 29, 2027

National Provider Directory

National Provider Directory

Locations

2000 Howard Farm Dr
Ste 320
Cumming, GA 30041
Phone (404) 847-4180

4395 Johns Creek Pkwy
Ste 150
Suwanee, GA 30024
Phone (770) 814-1160

Practitioners & affiliated clinicians

Practitioners 8

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": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1215177753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 JOHNS CREEK PKWY",
            "address_2": "SUITE 150",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246048",
            "telephone_number": "770-814-1160",
            "fax_number": "770-814-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4395 JOHNS CREEK PKWY",
            "address_2": "SUITE 150",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246048",
            "telephone_number": "770-814-1160",
            "fax_number": "770-814-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS CREEK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "PERLSTEIN",
        "authorized_official_first_name": "HARRIETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "770-814-1160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "031098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.