Gertrude Brown Arrington, MD
Individual provider Active NPI Pediatrics Physician · College Park, GA
NPI 1487697124 · NPPES record last updated Jan 24, 2013
Key facts
- NPI
- 1487697124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 027036 (GA)
- Practice address
- 1720 Phoenix Blvd
College Park, GA 30349 - Phone
- (770) 909-8007
- Fax
- (770) 909-8005
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027036 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Avenue Pediatrics LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- garrington3937@choa.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 027036 | GA | Yes |
Addresses
Primary practice location
1720 Phoenix Blvd
College Park, GA 30349
Mailing address
1720 Phoenix Blvd
College Park, GA 30349
Phone (770) 909-8007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000298053E | Medicaid | GA |
Other names
- Gertrude B Arrington
Other providers in College Park, GA
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All providers in College Park, GA · Pediatrics Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.