NPIMap

Organization Active NPI

Zoe Center for Pediatric & Adolescent Health, LLC

  • Pediatrics Physician
  • Barnesville, GA
National Provider Identifier
1477815306
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
039388 Issued in GA
Legal business name
ZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC
Practice address
100 Highway 18 W
Ste 201
Barnesville, GA 30204-1171
Phone
(706) 938-0990
Fax
(706) 647-3861
NPI assigned
Jun 15, 2012
Last updated
Jun 15, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ZOE CENTER FOR PEDIATRIC & ADOLESCENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Stephanie H Kong, MDNPI 1508851908
Title
President/Ceo
Phone
(706) 938-0990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 039388 GA Primary

Addresses

Primary practice location

100 Highway 18 W
Ste 201
Barnesville, GA 30204-1171

Mailing address

210 Hannahs Mill Rd
Thomaston, GA 30286-2801
Phone (706) 938-0990

National Provider Directory

National Provider Directory
Tax ID family
Zoe Center for Pediatric3 organizations share this tax ID, including this one
Part of
Zoe Center for Pediatric

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1477815306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HANNAHS MILL RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862801",
            "telephone_number": "706-938-0990",
            "fax_number": "706-647-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHWAY 18 W",
            "address_2": "STE 201",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041171",
            "telephone_number": "706-938-0990",
            "fax_number": "706-647-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZOE CENTER FOR PEDIATRIC & ADOLESCENT",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "706-938-0990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "039388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.