Gerren Ector, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

69581 Issued in GA

Practice address

193 N Park TRL
Suite 100
Stockbridge, GA 30281-7373

Phone

(770) 389-0116

NPI assigned

Jun 11, 2010

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tri County Pediatrics

  • Pediatrics Physician
  • Stockbridge, GA
  • NPI 1609558659
  NPD (past)
• Tri-County Pediatrics

  • Pediatrics Physician
  • Riverdale, GA
  • NPI 1285859413
  NPD (past)

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1457671562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 N PARK TRL",
            "address_2": "SUITE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817373",
            "telephone_number": "770-389-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 N PARK TRL",
            "address_2": "SUITE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817373",
            "telephone_number": "770-389-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECTOR",
        "first_name": "GERREN",
        "name_prefix": "Miss",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "69581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "69581",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133545A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eagles Landing Surgery, P.C.
• James Van Eaton, MD
• Joan Ebersole, OT
• Leon Forrest Echols III, R.PH.
• Audrey Melissa Eckles, PHARM.D.
• Mark Douglas Edge, MD
• Kevin Jermaine Edmonds, M.D.
• Ashley Courtney Edwards Bell
• James Vincent Edwards, PA-C
• Kimberley Joan Edwards, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.