Affinity Pediatrics

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

AFFINITY PEDIATRICS

Practice address

255 Racetrack Rd Ste 18
McDonough, GA 30252-6834

Phone

(678) 223-3213

NPI assigned

Apr 24, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Antonio MellonNPI 1649877796

Title

Owner/Administrator

Phone

(678) 223-3213

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.

• Antonio Mellon

  • Home Health Agency
  • McDonough, GA
  • NPI 1649877796
  NPD Authorized official

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1497375976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 RACETRACK RD STE 18",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302526834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 RACETRACK RD STE 18",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302526834",
            "telephone_number": "678-223-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "MELLON",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "678-223-3213",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Ellen Adams, P.T.
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• Shiv Kumar Agarwal, M.B.B.S., M.D.
• Olivia T Agboola
• Irene Sele Agedah

• Nursing Care Agency in McDonough, GA
• Providers in McDonough, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.