Jared Kiddoe MD Professional Corporation

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

JARED KIDDOE MD PROFESSIONAL CORPORATION

Practice address

1070 Swan Mill CT
Suwanee, GA 30024-2819

Phone

(919) 666-8546

NPI assigned

Mar 24, 2026

Organization subpart

No

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

Authorized official

Name

Jared Kiddoe, MDNPI 1972761047

Title

Psychiatrist

Phone

(919) 666-8546

Specialties & licenses 1

Addresses

Other names 1

• Authentic Wellness Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared Mugabe Kiddoe, M.D.

  • Psychiatry Physician
  • Anderson, SC
  • NPI 1972761047

  Child & Adolescent Psychiatry

  NPD Authorized official

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1437097003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 SWAN MILL CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242819",
            "telephone_number": "919-666-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 SWAN MILL CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242819",
            "telephone_number": "919-666-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED KIDDOE MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "KIDDOE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "919-666-8546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Authentic Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anila Jamal, M.D.
• Joshua Nathanael Jamiah, DPT
• Soheil Jamshidi, MD
• Sean Wonsuk Jang, DC
• Ava Maria Luz Jaquez
• Jay L. Rosenheck DDS PC
• Jay Medical & Rehab Works PC
• Muthumeena Jayabalan, MS.,RDN.,LD
• JC Clinic, LLC
• JC Dental P.C.

• Child & Adolescent Psychiatry Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Child & Adolescent Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.