Oakhurst Pediatrics, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

64026 Issued in GA

Legal business name

OAKHURST PEDIATRICS, LLC

Practice address

317 W Hill St Ste 111
Suite 111
Decatur, GA 30030-4368

Phone

(404) 202-0194

NPI assigned

Jun 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Ming-Chu Doyle, MDNPI 1043496565

Title

Owner

Phone

(404) 202-0194

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7316/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Ming-Chu Doyle, MD

  • Pediatrics Physician
  • Conyers, GA
  • NPI 1043496565
  NPD (past) Authorized official
• Emily E. Milliken Kanaan, M.D.

  • Pediatrics Physician
  • San Francisco, CA
  • NPI 1902840135
  NPD (past)

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1295175909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W HILL ST STE 111",
            "address_2": "SUITE 111",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304368",
            "telephone_number": "404-202-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W HILL ST STE 111",
            "address_2": "SUITE 111",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304368",
            "telephone_number": "404-202-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKHURST PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MING-CHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-202-0194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "64026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Bunch O'Neill, M.D.
• Jesse Garrett O'Shea, M.D., MSC
• Timothy J O'Shea, D.D.S.
• Oak Grove Pediatric Dentistry, P.C.
• Oakhurst Occupational Therapy
• Meredith Ann Oakley, DVM
• Oasis Family Care
• OB GYN Women Specialist of Ga
• OB/GYN Women Specialists of Georgia, PC
• Ashimedua Obata, RRT

• Primary Care Clinic/Center in Decatur, GA
• Providers in Decatur, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.