Imagine Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

IMAGINE PEDIATRICS PC

Practice address

18 Riverbend Dr SW Ste 210
Rome, GA 30161-6019

Phone

(334) 291-8360

Fax

(888) 506-0507

NPI assigned

Oct 15, 2018

Organization subpart

No

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

Authorized official

Name

Erica Paez-Zapata, MDNPI 1134354798

Title

President

Phone

(706) 528-4949

Specialties & licenses 1

Addresses

Electronic endpoints 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.

• Erica Paez-Zapata, M.D.

  • Pediatrics Physician
  • Rome, GA
  • NPI 1134354798
  NPD Authorized official

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1477029759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RIVERBEND DR SW STE 210",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616019",
            "telephone_number": "706-528-4949",
            "fax_number": "706-204-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 RIVERBEND DR SW STE 210",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616019",
            "telephone_number": "334-291-8360",
            "fax_number": "888-506-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "PAEZ-ZAPATA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-528-4949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rome",
            "affiliation": "N",
            "endpointDescription": "Pediatric Clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Rome",
            "address_1": "18 Riverbend Dr SW Ste 210",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301616019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Racheal Boyd Hutcheson, RN
• Brooke Hyde, PHARMD
• Tracy Sue Iglesias
• Florence Iloh, MD
• Cassie Breanna Ilyasova, PA-C
• Immediate Care of Rome #1, LLC
• Independent Physical Therapy of Georgia, LLC
• Independent Physical Therapy of Georgia, LLC
• Infinity Children'S Services, Inc.
• Amanda Chambers Ingram, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.