Pediatric and Neonatal Clinic, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

020501 Issued in GA

Legal business name

PEDIATRIC AND NEONATAL CLINIC, P.C.

Practice address

8503 Campbellton St
Douglasville, GA 30134-1822

Phone

(770) 949-9985

Fax

(770) 949-6213

NPI assigned

Jan 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Abolhassan Yamin, M.D.NPI 1013908342

Title

Ceo

Phone

(770) 949-9985

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Abolhassan Yamin, M.D.

  • Pediatrics Physician
  • Douglasville, GA
  • NPI 1013908342
  NPD (past) Authorized official

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1447498944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 CAMPBELLTON ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341822",
            "telephone_number": "770-949-9985",
            "fax_number": "770-949-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 CAMPBELLTON ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341822",
            "telephone_number": "770-949-9985",
            "fax_number": "770-949-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND NEONATAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "YAMIN",
        "authorized_official_first_name": "ABOLHASSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-949-9985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "020501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000177449E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annelise Pearce
• Alana Pearson, M.D.
• Benjamin Karl Pearson, PHARM.D.
• Mikia Peavy
• Michael Peck
• Mykeyah Angel Peek
• Adasa Ashantay Pegus
• Lindsay Pennington
• Lilian Pereira
• Dolores M Perez-Collier, CNA

• Specialist in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.