Alliance Pediatric Providers LLC
Organization Active NPI Nursing Care Agency · McDonough, GA
NPI 1346738457 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1346738457
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Care Agency 251J00000X
- License
- 075-R-1954 (GA)
- Legal business name
- ALLIANCE PEDIATRIC PROVIDERS LLC
- Practice address
- 115 Westridge Industrial Blvd
Ste 380
McDonough, GA 30253-4214 - Phone
- (770) 389-1525
- Fax
- (470) 300-3550
- NPI assigned
- Apr 24, 2018
- Organization subpart
- No
Authorized official
- Name
- Mrs. Karen Lynne Pitman, RN
- Title
- RN, Director of Operations
- Phone
- (770) 389-1525
National Provider Directory
Locations
115 Westridge Industrial Blvd
Ste 380
McDonough, GA 30253
Phone (770) 389-1525
1512 Rock Quarry Rd
Stockbridge, GA 30281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 075-R-1954 | GA | Yes |
| In Home Supportive Care Agency | 253Z00000X | 075-R-1954 | GA |
Addresses
Primary practice location
115 Westridge Industrial Blvd
Ste 380
McDonough, GA 30253-4214
Mailing address
115 Westridge Industrial Blvd Ste 380
McDonough, GA 30253-4214
Phone (770) 389-1525
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003210228A | Medicaid | GA |
Other providers in McDonough, GA
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- Kaitlyn Allen
- Latrice N Allen
- Silicia Keri-Gaye Allen
- Shaquayla Alls-Terrell
- Jeffery Almond
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All providers in McDonough, GA · Nursing Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.