CJ Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

50389 Issued in GA

Legal business name

CJ PEDIATRICS LLC

Practice address

290 Country Club Dr
140
Stockbridge, GA 30281

Phone

(678) 782-7137

Fax

(678) 782-7135

NPI assigned

Jun 9, 2014

Last updated

Jun 17, 2014By 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. Candance J Johnson, MD

Title

Owner

Phone

(678) 782-7137

Specialties & licenses 1

Addresses

Locations

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.

• Candace J Johnson, M.D.

  • Pediatrics Physician
  • Stockbridge, GA
  • NPI 1730162702
  NPD (past)

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1477966380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 COUNTRY CLUB DR",
            "address_2": "140",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "678-782-7137",
            "fax_number": "678-782-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 COUNTRY CLUB DR",
            "address_2": "140",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "678-782-7137",
            "fax_number": "678-782-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CANDANCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-782-7137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "50389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon A Chua, M.D.
• Priscilla Ngozi Chukwueke, MD
• Samuel Chukwuma, PT, DPT
• Circle of Therapeutic Alliance and Consulting, LLC (2Thedegree)
• City EMS
• Dorian Claggett
• Clark & Clark Counseling Center, LLC
• Jeanine Clark, FNP
• Stephanie Nicole Clark
• Susan Marie Clark, PH.D

• 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 Jun 17, 2014; 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.