The Kids Specialists, Henry Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

045647 Issued in GA

Legal business name

THE KIDS SPECIALISTS, HENRY PEDIATRICS

Practice address

1215 Eagles Landing Pkwy
Ste.108/109
Stockbridge, GA 30281-7279

Phone

(678) 289-8184

NPI assigned

Jun 24, 2008

Last updated

Dec 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Catherine MauerNPI 1912992520

Title

MD

Phone

(678) 289-8184

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

Tax ID family

Kids Specialists Henry Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Kids Specialist Henry Pediatrics LLC

  • Pediatrics Physician
  • Stockbridge, GA
  • NPI 1174838551
  NPD tax ID

Locations

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.

• Catherine T Mauer, MD

  • Pediatrics Physician
  • Stockbridge, GA
  • NPI 1912992520
  NPD (past) Authorized official
• Heather Lee Clemons, M.D.

  • Pediatrics Physician
  • Norcross, GA
  • NPI 1629368691
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1407017163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 EAGLES LANDING PKWY",
            "address_2": "STE.108/109",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 EAGLES LANDING PKWY",
            "address_2": "STE.108/109",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817279",
            "telephone_number": "678-289-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDS SPECIALISTS, HENRY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "MAUER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "678-289-8184",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "045647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Doctor's Office, LLC
• The Doctor's Office, LLC
• The Drisinexpress
• The Eye Den LLC (The Eye Den)
• The Kids Specialist Henry Pediatrics LLC
• The Kroger Co (Kroger Pharmacy)
• The Kroger Co (Kroger Pharmacy)
• The Lighted Road Counseling Center Inc
• The Lighthouse Counseling Clinic, Inc.
• The Milestone Center, LLC

• Primary Care Clinic/Center in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.