NPIMap

Organization Active NPI

Pediatria Healthcare LLC

Doing business as Pediatria HealthCare for Kids

  • Nursing Care Agency
  • Norcross, GA
National Provider Identifier
1407922800
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
044-R-0244 Issued in GA
Legal business name
PEDIATRIA HEALTHCARE LLC
Doing business as
Pediatria HealthCare for Kids
Practice address
5185 Peachtree Pkwy
Suite 350
Norcross, GA 30092-6542
Phone
(770) 840-1966
Fax
(770) 840-1901
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Mrs. Michele Hooke Short
Title
VP of Business Operations
Phone
(770) 840-1966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 044-R-0244 GA Primary

Addresses

Primary practice location

5185 Peachtree Pkwy
Suite 350
Norcross, GA 30092-6542

Mailing address

5185 Peachtree Pkwy
Suite 350
Norcross, GA 30092-6542
Phone (770) 840-1966

Other names 1

  • Pediatria HealthCare for Kids Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatria Healthcare LLC26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

5185 Peachtree Pkwy
Ste 350
Peachtree Corners, GA 30092
Phone (770) 840-1966

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1407922800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 PEACHTREE PKWY",
            "address_2": "SUITE 350",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300926542",
            "telephone_number": "770-840-1966",
            "fax_number": "770-840-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 PEACHTREE PKWY",
            "address_2": "SUITE 350",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300926542",
            "telephone_number": "770-840-1966",
            "fax_number": "770-840-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "HOOKE",
        "authorized_official_title_or_position": "VP OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "770-840-1966",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "044-R-0244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatria HealthCare for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.