Individual provider Active NPI

Gertrude Brown Arrington, MD

  • Pediatrics Physician
  • College Park, GA
National Provider Identifier
1487697124
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
027036 Issued in GA
Practice address
1720 Phoenix Blvd
College Park, GA 30349
Phone
(770) 909-8007
Fax
(770) 909-8005
NPI assigned
Jun 13, 2006
Last updated
Jan 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 027036 GA Primary

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 1

IdentifierTypeStateIssuer
000298053EMedicaidGA

Other names 1

  • Gertrude B Arrington Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
027036GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Avenue Pediatrics LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: garrington3937@choa.gadirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1487697124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 PHOENIX BLVD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "30349",
            "telephone_number": "770-909-8007",
            "fax_number": "770-909-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PHOENIX BLVD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "30349",
            "telephone_number": "770-909-8007",
            "fax_number": "770-909-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRINGTON",
        "first_name": "GERTRUDE",
        "middle_name": "BROWN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "027036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000298053E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERTRUDE",
            "last_name": "ARRINGTON",
            "middle_name": "B",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.