Organization Active NPI

Barrow Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Winder, GA
National Provider Identifier
1366753758
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
2010-1513 Issued in GA
Legal business name
BARROW PEDIATRICS
Practice address
561 Jefferson Hwy
Winder, GA 30680-4910
Phone
(770) 867-7616
Fax
(770) 867-3093
NPI assigned
Jun 30, 2010
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Elizabeth Smith
Title
Office Manager
Phone
(770) 867-7616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 2010-1513 GA Primary

Addresses

Primary practice location

561 Jefferson Hwy
Winder, GA 30680-4910

Mailing address

561 Jefferson Hwy
Winder, GA 30680-4910
Phone (770) 867-7616

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0262229Barrow Pediatrics561 Jefferson Highway, Winder, GA 30680Certificate of waiverJan 16, 2028

National Provider Directory

National Provider Directory

Locations

561 Jefferson Hwy
Winder, GA 30680
Phone (770) 867-7616

Practitioners & affiliated clinicians

Practitioners 4

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": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1366753758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 JEFFERSON HWY",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306804910",
            "telephone_number": "770-867-7616",
            "fax_number": "770-867-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 JEFFERSON HWY",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306804910",
            "telephone_number": "770-867-7616",
            "fax_number": "770-867-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARROW PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-867-7616"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "2010-1513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.