Active NPI
Kidzcare Pediatrics, Inc
- Pediatrics Physician
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 75590
- Legal business name
- KIDZCARE PEDIATRICS, INC
- Practice address
- 3772 Satellite Blvd
Suite 101
Duluth, GA 30096-5681 - Phone
- (772) 812-3678
- NPI assigned
- Mar 21, 2017
- Last updated
- Mar 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Afshan Ahmed
- Title
- Office Manager
- Phone
- (772) 812-3678
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 75590 | GA | Primary |
Addresses
Primary practice location
3772 Satellite Blvd
Suite 101
Duluth, GA 30096-5681
Mailing address
3772 Satellite Blvd
Suite 101
Duluth, GA 30096-5681
Phone (772) 812-3678
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1038722 | Kidzcare Pediatrics, Inc | Certificate of waiver | Mar 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
3772 Satellite Blvd
Duluth, GA 30096
3772 Satellite Blvd
#2
Duluth, GA 30096
3772 Satellite Blvd
Ste 101
Duluth, GA 30096
Phone (770) 559-4315
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Duluth, GA
- NPI 1790750487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490054400000",
"number": "1467983668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3772 SATELLITE BLVD",
"address_2": "SUITE 101",
"city": "DULUTH",
"state": "GA",
"postal_code": "300965681",
"telephone_number": "772-812-3678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3772 SATELLITE BLVD",
"address_2": "SUITE 101",
"city": "DULUTH",
"state": "GA",
"postal_code": "300965681",
"telephone_number": "772-812-3678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDZCARE PEDIATRICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-21",
"last_updated": "2017-03-21",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "AFSHAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "772-812-3678"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "75590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.