Active NPI
Barrow Pediatrics
- Pediatric Adolescent Medicine Physician
- Winder, GA
National Provider Identifier
1366753758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 2010-1513
- 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, 2010
- 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
- Elizabeth Smith
- Title
- Office Manager
- Phone
- (770) 867-7616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 11D0262229 | Barrow Pediatrics | Certificate of waiver | Jan 16, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Winder, GA
- NPI 1407816739
-
- Family Nurse Practitioner
- Winder, GA
- NPI 1033956289
-
- Pediatrics Physician
- Winder, GA
- NPI 1942277116
-
- Pediatrics Physician
- Winder, GA
- NPI 1417917485
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
- Barrow County Board of Commissioners (Barrow County Emergency Medical Service)
- Barrow County EMS
- Barrow County School System
- Barrow Gwinnett Ear Nose Throat & Sinus, Inc
- Barrow Inpatient Services, P.C.
- Barrow Radiology Associates PC
- Mary S. Bates, RPH
- Cheri Baumgartner, MSOTR/L
- Doug Porter Baxter, DMD
- Mark P Benner, D.D.S
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.