Agc Pediatrics, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

AGC PEDIATRICS, LLC

Practice address

204 Professional CT SE
Calhoun, GA 30701-7020

Phone

(706) 625-5900

Fax

(706) 625-6519

NPI assigned

Mar 15, 2007

Last updated

May 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph L Joyave, M.DNPI 1730122805

Title

Owner

Phone

(706) 625-5900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Agc Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Agc Pediatrics, LLC

  • Pediatric Nurse Practitioner
  • Cartersville, GA
  • NPI 1851708242
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEJAAA

Practitioners 22

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.

• Joseph L Joyave, M.D.

  • Specialist
  • Calhoun, GA
  • NPI 1730122805
  Medicare reassignment NPD Authorized official
• Kelsey Elizabeth Hooper, FNP-C

  • Family Nurse Practitioner
  • Calhoun, GA
  • NPI 1538717707
  Medicare reassignment NPD
• John Daniel Joyave, D.O.

  • Family Medicine Physician
  • Calhoun, GA
  • NPI 1649639907
  Medicare reassignment NPD
• Katherine Pottinger Bohannon, D.O.

  • Pediatrics Physician
  • Calham, GA
  • NPI 1669965489
  NPD
• Wayne N Darville, M.D.

  • Pediatrics Physician
  • Calhoun, GA
  • NPI 1477518256
  NPD (past)
• Dana Lynn Dockery, LCSW

  • Mental Health Counselor
  • Calhoun, GA
  • NPI 1104339720
  NPD (past)
• Linda Green, MSN, CNM, FNP-C

  • Family Nurse Practitioner
  • Calhoun, GA
  • NPI 1871970822
  NPD (past)
• Marcia C Hennessey, LCSW

  • Clinical Social Worker
  • Cartersville, GA
  • NPI 1720348188
  NPD (past)
• Courtney Parham Johnson, PA-C

  • Physician Assistant
  • Calhoun, GA
  • NPI 1003103870
  NPD (past)
• Rebekah Lynne Kirby, PA-C

  • Physician Assistant
  • Calhoun, GA
  • NPI 1497017073
  NPD (past)
• Rebecca McWhorter Moore, CPNP

  • Nurse Practitioner
  • Cartersville, GA
  • NPI 1699823302
  NPD (past)
• Stephanie Cordell Morgan, CPNP

  • Pediatric Nurse Practitioner
  • Cartersville, GA
  • NPI 1871900266
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1356475214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PROFESSIONAL CT SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307017020",
            "telephone_number": "706-625-5900",
            "fax_number": "706-625-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PROFESSIONAL CT SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307017020",
            "telephone_number": "706-625-5900",
            "fax_number": "706-625-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGC PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "JOYAVE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-625-5900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.