Kids First Pediatric Group of Augusta ,P.C

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

056931 Issued in GA

Legal business name

KIDS FIRST PEDIATRIC GROUP OF AUGUSTA ,P.C

Practice address

1215 George C.Wilson CT.
Suite B1
Augusta, GA 30909-5704

Phone

(706) 650-0004

Fax

(706) 650-5889

NPI assigned

May 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Carol Dale Thompson-Armant, M.D.

Title

Ceo

Phone

(706) 650-0004

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Kids First Pediatric Group of Augusta PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Kids First Pediatric Group of Augusta,Inc.

  • Pediatrics Physician
  • Augusta, GA
  • NPI 1700114519
  NPD tax ID

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1487971230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 GEORGE C.WILSON CT.",
            "address_2": "SUITE B1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095704",
            "telephone_number": "706-650-0004",
            "fax_number": "706-650-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GEORGE C.WILSON CT.",
            "address_2": "SUITE B1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095704",
            "telephone_number": "706-650-0004",
            "fax_number": "706-650-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FIRST PEDIATRIC GROUP OF AUGUSTA ,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "THOMPSON-ARMANT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-650-0004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "056931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "865263766A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vijanti Khiani, M.D.
• Samir N Khleif, M.D.
• David Yong Kho, PHARM.D.
• Hesamoldin Khodadadi Chamgordani, MD
• Charles J Kidd, MD
• Kids First Pediatric Group of Augusta,Inc.
• Kids Prompt Care, LLC
• Barbara S. Kiernan, PHD, RN, APRN, PNP
• Thomas William Kiernan, M.D.
• Fred Jason Kight, M.D.

• Clinic/Center in Augusta, GA
• Providers in Augusta, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.