Active NPI
Bi-County Pediatrics
- Pediatrics Physician
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 058682
- Legal business name
- BI-COUNTY PEDIATRICS
- Practice address
- 6128 Prestley Mill Rd Ste D
Douglasville, GA 30134-5622 - Phone
- (770) 949-3888
- Fax
- (770) 949-3504
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond P Flowers III, D.O.
- Title
- Owner
- Phone
- (770) 949-3888
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 020701 | GA | |
| Pediatrics Physician | 208000000X | 058682 | GA | Primary |
Addresses
Primary practice location
6128 Prestley Mill Rd Ste D
Douglasville, GA 30134-5622
Mailing address
6128 Prestley Mill Rd Ste D
Douglasville, GA 30134-5622
Phone (770) 949-3888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30022158C | Medicaid | GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0256502 | Bi-County Pediatrics | Certificate of waiver | May 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
6128 Prestley Mill Rd
Ste D
Douglasville, GA 30134
Phone (770) 949-3888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Douglasville, GA
- NPI 1780675710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366569485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6128 PRESTLEY MILL RD STE D",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301345622",
"telephone_number": "770-949-3888",
"fax_number": "770-949-3504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6128 PRESTLEY MILL RD STE D",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301345622",
"telephone_number": "770-949-3888",
"fax_number": "770-949-3504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BI-COUNTY PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FLOWERS",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-949-3888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "GA",
"license": "020701",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "GA",
"license": "058682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30022158C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, 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.
- 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.