Laurens Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LAURENS PEDIATRICS, LLC

Practice address

112 Rowe St
Dublin, GA 31021-5200

Phone

(478) 272-5212

Fax

(478) 272-5217

NPI assigned

Feb 25, 2020

Last updated

Feb 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kannan Vaidyanathan, MDNPI 1679584726

Title

Physician Owner

Phone

(478) 272-5212

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kannan Vaidyanathan, MD

  • Pediatrics Physician
  • Dublin, GA
  • NPI 1679584726
  NPD (past) Authorized official

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1497389795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ROWE ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215200",
            "telephone_number": "478-272-5212",
            "fax_number": "478-272-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ROWE ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215200",
            "telephone_number": "478-272-5212",
            "fax_number": "478-272-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENS PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "VAIDYANATHAN",
        "authorized_official_first_name": "KANNAN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "478-272-5212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurens County Board of Health (Laurens County Health Department)
• Laurens County Board of Health (Early Intervention Case MGT)
• Laurens County Board of Health (Ryan White Clinic)
• Laurens County Volunteers in Medicine
• Laurens Internal Medicine
• Tara Hutchinson Lausch, NP-C
• Brianna Law, MT
• Maddox Abraham Lawrence, PHARMD.
• Learn and Go Therapy, LLC
• Merinda Mason Lee

• Pediatrics Physician in Dublin, GA
• Providers in Dublin, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.