Encore Pediatrics of Georgia LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ENCORE PEDIATRICS OF GEORGIA LLC

Practice address

785H King George Blvd Ste D
Savannah, GA 31419-9551

Phone

(888) 269-9876

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

John Cotcher

Title

Evp of Pediatrics

Phone

(248) 672-2593

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1386498210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "800-728-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785H KING GEORGE BLVD STE D",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199551",
            "telephone_number": "888-269-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE PEDIATRICS OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "COTCHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EVP OF PEDIATRICS",
        "authorized_official_telephone_number": "248-672-2593"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Savannah, GA
• Providers in Savannah, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.