NPIMap

Organization Active NPI

Abc Pediatrics and Family Care Center, P.C.

  • Pediatrics Physician
  • Kingsland, GA
National Provider Identifier
1376735597
Registry record updated Aug 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ABC PEDIATRICS AND FAMILY CARE CENTER, P.C.
Practice address
39 Andrews Way
Kingsland, GA 31548-6833
Phone
(912) 729-4944
NPI assigned
Aug 11, 2007
Last updated
Aug 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2007

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

Authorized official

Name
Dr. Sujay Patel, M.D.NPI 1851399307
Title
Owner
Phone
(912) 729-4944

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

39 Andrews Way
Kingsland, GA 31548-6833

Mailing address

PO Box 1808
Kingsland, GA 31548-1808
Phone (912) 729-4944

National Provider Directory

National Provider Directory

Locations

39 Andrews Way
Saint Marys, GA 31558
Phone (912) 729-2999

Practitioners & affiliated clinicians

Practitioners 2

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": "1186790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186790400000",
    "number": "1376735597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1808",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315481808",
            "telephone_number": "912-729-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 ANDREWS WAY",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486833",
            "telephone_number": "912-729-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRICS AND FAMILY CARE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-729-4944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.