Active NPI
Diedre Eileen Clemetson Rowe, M.D.
- Pediatrics Physician
- Atlanta, GA
National Provider Identifier
1407032972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 001330
- Practice address
- 49 Jesse Hill Dr
Emory Pediatrics Residency Program
Atlanta, GA 30303 - Phone
- (404) 778-1414
- NPI assigned
- Jan 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 001330 | GA | Primary |
Addresses
Primary practice location
49 Jesse Hill Dr
Emory Pediatrics Residency Program
Atlanta, GA 30303
Mailing address
49 Jesse Hill Drive
Atlanta, GA 30303
Phone (404) 778-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001330 | Other | GA | STATE OF GEORGIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160613000599 | GA | Order and Referring Only - Pediatric Medicine | 5193015642 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001330 | GA | MD | Pediatrics Physician |
Interoperability endpoints
- drowe13228@choa.gadirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1407032972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 JESSE HILL DRIVE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-778-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 JESSE HILL DR",
"address_2": "EMORY PEDIATRICS RESIDENCY PROGRAM",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-778-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWE",
"first_name": "DIEDRE",
"middle_name": "EILEEN CLEMETSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-15",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "001330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF GEORGIA",
"identifier": "001330",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.