Active NPI
TMC Carousel Pediatrics Inc
- Pediatrics Physician
- Carrollton, GA
National Provider Identifier
1285879833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 DirectoryNPI 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.