Organization Active NPI

TMC Carousel Pediatrics Inc

  • Pediatrics Physician
  • Carrollton, GA
National Provider Identifier
1285879833
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TMC CAROUSEL PEDIATRICS INC
Practice address
119 Ambulance Dr
Suite 202
Carrollton, GA 30117-3857
Phone
(770) 834-0606
Fax
(770) 834-1833
NPI assigned
Dec 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Debbi Macaluso-Peare
Title
Cfo
Phone
(770) 838-8554

Specialties & licenses 1

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

Addresses

Primary practice location

119 Ambulance Dr
Suite 202
Carrollton, GA 30117-3857

Mailing address

804 Dixie St
Carrollton, GA 30117-4416
Phone (770) 834-0606

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1285879833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174416",
            "telephone_number": "770-834-0606",
            "fax_number": "770-834-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 AMBULANCE DR",
            "address_2": "SUITE 202",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173857",
            "telephone_number": "770-834-0606",
            "fax_number": "770-834-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC CAROUSEL PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "MACALUSO-PEARE",
        "authorized_official_first_name": "DEBBI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-838-8554"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

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