Ga Kidz Pediatrics. P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GA KIDZ PEDIATRICS. P.C.

Practice address

146 Sylvan Dr
Jackson, GA 30233-1548

Phone

(770) 775-4540

Fax

(770) 775-4078

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lezlie F Biles, MDNPI 1033267364

Title

Owner

Phone

(770) 775-4540

Specialties & licenses 1

Addresses

Other identifiers 2

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

CLIA laboratory certificates

Practitioners 3

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

• Lezlie F Biles, MD

  • Pediatrics Physician
  • Jackson, GA
  • NPI 1033267364

  Pediatrics

  NPD (past) Authorized official
• Brooke Nicole Bolden, NP

  • Nurse Practitioner
  • Jackson, GA
  • NPI 1891682886
  NPD (past)
• Sheila Mallory, FNP-C

  • Family Nurse Practitioner
  • Jackson, GA
  • NPI 1538618335
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1306973151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 SYLVAN DR",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331548",
            "telephone_number": "770-775-4540",
            "fax_number": "770-775-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 SYLVAN DR",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331548",
            "telephone_number": "770-775-4540",
            "fax_number": "770-775-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA KIDZ PEDIATRICS. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "BILES",
        "authorized_official_first_name": "LEZLIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-775-4540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033267364",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063563468",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Keith Fortson, D.M.D
• Joseph Fowlkes, MD
• Freds Stores of Tennessee Inc.
• Regen Vachelle Freeman, M.A.,CCC-SLP
• Friendly Neighbors Als., Inc
• Aleta Maria Gardner, M.D.
• Kela Gates, APRN, FNP-C
• Georgia CVS Pharmacy LLC
• Georgia Diagnostic & Classification Prison Pharmacy
• Georgia Ophthalmologists LLC

• All providers in Jackson, GA
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.