NPIMap

Organization Active NPI

Children's Wellness Center

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1306995832
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
050260 Issued in GA
Legal business name
CHILDREN'S WELLNESS CENTER
Practice address
755 Mount Vernon Hwy NE
Suite 150
Atlanta, GA 30328-4274
Phone
(404) 303-1314
Fax
(404) 303-1399
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Julie Segal, M.D.NPI 1548317746
Title
Owner
Phone
(404) 303-1314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 050260 GA Primary

Addresses

Primary practice location

755 Mount Vernon Hwy NE
Suite 150
Atlanta, GA 30328-4274

Mailing address

755 Mount Vernon Hwy NE
Suite 150
Atlanta, GA 30328-4274
Phone (404) 303-1314

National Provider Directory

National Provider Directory

Locations

330 Turner McCall Blvd SW
Ste 2000
Rome, GA 30165
Phone (706) 235-6555

755 Mount Vernon Hwy NE
Ste 150
Sandy Springs, GA 30328
Phone (404) 303-1314

5883 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (404) 303-1314

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306995832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-303-1314",
            "fax_number": "404-303-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-303-1314",
            "fax_number": "404-303-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-303-1314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "050260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.