Sunnyside Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

055272 Issued in GA

Legal business name

SUNNYSIDE PEDIATRICS

Practice address

600 S 8TH St
Griffin, GA 30224-4214

Phone

(770) 233-4668

Fax

(678) 866-2636

NPI assigned

Nov 11, 2011

Last updated

Nov 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Prabhudev Patre, MD

Title

Director

Phone

(770) 715-4808

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• Direct secure messaging: chandana.prabhudev@gadirect.net

Practitioners 3

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.

• Chandana Prabhudev, M.D.

  • Pediatrics Physician
  • Griffin, GA
  • NPI 1154400547
  NPD
• Jose A Rios, MD

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1689625592
  NPD (past)
• Shae Ala Robinson, PA-C, ATC

  • Physician Assistant
  • Griffin, GA
  • NPI 1437561370
  NPD (past)

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1275810780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244214",
            "telephone_number": "770-233-4668",
            "fax_number": "678-866-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244214",
            "telephone_number": "770-233-4668",
            "fax_number": "678-866-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "PATRE",
        "authorized_official_first_name": "PRABHUDEV",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-715-4808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "055272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "785450399C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Strickland, RN
• Aubrey Stroud
• Emily Stroup, LAPC
• Michael Todd Stuart
• Sunbridge Retirement Care Associates, LLC (Renaissance Care and Rehabilitation Center)
• Superior Eyecare of Griffin
• Superior Eyecare of Madison Inc
• Surgical Clinic of Griffin-Spalding, P.C.
• Holly Sutton, LPN
• Lisa Swain, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.