Pediatric Endocrine Specialists of Georgia

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

60045 Issued in GA

Legal business name

PEDIATRIC ENDOCRINE SPECIALISTS OF GEORGIA

Practice address

10700 Medlock Bridge Rd
Suite 102
Duluth, GA 30097-8456

Phone

(678) 691-5351

Fax

(770) 685-1241

NPI assigned

Aug 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Paul Jerome Bernard, MD

Title

President

Phone

(314) 374-1646

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1366721706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978456",
            "telephone_number": "678-691-5351",
            "fax_number": "770-685-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978456",
            "telephone_number": "678-691-5351",
            "fax_number": "770-685-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ENDOCRINE SPECIALISTS OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-374-1646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "GA",
            "license": "60045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree Pelvic Health LLC
• Olabisi Pearse, MD
• Teleigha L Peavy
• Kranti Venkata Peddada
• Pediatric Associates of North Atlanta, P.C.
• Chantal M Peele, LPC
• Aparna V Peethambaram, M.D.
• Huiping Pei, M.D.
• Peoples Serve Transportation,LLC
• Jasmine Peoples

• Pediatric Endocrinology Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Pediatric Endocrinology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.