West Vinings Pediatric Group, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

050747 Issued in GA

Legal business name

WEST VININGS PEDIATRIC GROUP, P.C.

Practice address

3644 Highlands Pkwy SE
Smyrna, GA 30082-5184

Phone

(404) 446-3960

Fax

(404) 446-3965

NPI assigned

Jun 17, 2013

Last updated

Jun 17, 2013By 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. Crystal L/ White, M.D.NPI 1427023381

Title

Owner / M.D.

Phone

(404) 446-3960

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 3

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.

• Crystal L White, MD

  • Pediatrics Physician
  • Smyrna, GA
  • NPI 1427023381
  NPD (past) Authorized official
• Sherie Nicole Byrd, M.D.

  • Pediatrics Physician
  • Acworth, GA
  • NPI 1154740702
  NPD (past)
• Marie-Michele Constant, M.D.

  • Pediatric Adolescent Medicine Physician
  • Orangeburg, SC
  • NPI 1992766307
  NPD (past)

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1447699061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3644 HIGHLANDS PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825184",
            "telephone_number": "404-446-3960",
            "fax_number": "404-446-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3644 HIGHLANDS PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825184",
            "telephone_number": "404-446-3960",
            "fax_number": "404-446-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VININGS PEDIATRIC GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L/",
        "authorized_official_title_or_position": "OWNER / M.D.",
        "authorized_official_telephone_number": "404-446-3960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "050747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683835419D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick P Wener, MD
• Samantha Nicole Werkheiser, PA-C
• West Atlanta OB-GYN Inc
• West Atlanta Women's Health, LLC
• West Cobb Counseling Center, Inc.
• Claire C. West, OT
• Robert W Wetherington, MD
• Crystal L White, MD
• Francine White, LAPC
• Isom Eugene White, LCSW

• Pediatrics Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.