NPIMap

Organization Active NPI

Roswell Pediatric Center, P.C.

  • Pediatrics Physician
  • Alpharetta, GA
National Provider Identifier
1487772596
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ROSWELL PEDIATRIC CENTER, P.C.
Practice address
11525 Haynes Bridge Rd Ste 200
Alpharetta, GA 30009-4822
Phone
(770) 751-0800
Fax
(770) 751-1401
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Ms. Laurie L Viebrock, CMPE
Title
Practice Administrator
Phone
(770) 751-0800

Specialties & licenses 1

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

Addresses

Primary practice location

11525 Haynes Bridge Rd Ste 200
Alpharetta, GA 30009-4822

Mailing address

11525 Haynes Bridge Rd Ste 200
Alpharetta, GA 30009-4822
Phone (770) 751-0800

Other practice location 1

3400 Old Milton Pkwy #C
Suite 545
Alpharetta, GA 30005
Phone (770) 751-0800

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0684556Roswell Pediatric Center PC11525 Haynes Bridge Road, Suite 200, Alpharetta, GA 30009AccreditationNov 5, 2027

National Provider Directory

National Provider Directory

Locations

11525 Haynes Bridge Rd
Ste 200
Alpharetta, GA 30009
Phone (770) 751-0800

12385 Crabapple Rd
Ste 100
Alpharetta, GA 30004
Phone (770) 343-9900

3400 Old Milton Pkwy
Ste C545
Alpharetta, GA 30005
Phone (770) 751-0800

12385 Crabapple Rd
Ste 200
Alpharetta, GA 30004
Phone (770) 751-0800

110 N Corners Pkwy
#100
Cumming, GA 30040
Phone (770) 751-0800

110 N Corners Pkwy
Cumming, GA 30040
Phone (770) 751-0800

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1194

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1487772596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 HAYNES BRIDGE RD STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300094822",
            "telephone_number": "770-751-0800",
            "fax_number": "770-751-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 HAYNES BRIDGE RD STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300094822",
            "telephone_number": "770-751-0800",
            "fax_number": "770-751-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Old Milton Pkwy #C",
            "address_2": "Suite 545",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "30005",
            "country_code": "US",
            "telephone_number": "770-751-0800",
            "fax_number": "770-751-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSWELL PEDIATRIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "VIEBROCK",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-751-0800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.