NPIMap

Organization Active NPI

Childfren'S Medical Group, P.C.

  • Pediatric Adolescent Medicine Physician
  • Atlanta, GA
National Provider Identifier
1497865935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
CHILDFREN'S MEDICAL GROUP, P.C.
Practice address
1875 Century Blvd NE
Suite 150
Atlanta, GA 30345-3319
Phone
(404) 633-4595
Fax
(404) 633-6711
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William K Jann, MD
Title
President
Phone
(404) 633-4595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

1875 Century Blvd NE
Suite 150
Atlanta, GA 30345-3319

Mailing address

1875 Century Blvd NE
Suite 150
Atlanta, GA 30345-3319
Phone (404) 633-4595

National Provider Directory

National Provider Directory

Locations

1875 Century Blvd NE
Ste 150
Atlanta, GA 30345
Phone (404) 633-4595

125 Clairemont Ave
Decatur, GA 30030
Phone (404) 748-9691

125 Clairemont Ave
Ste 190
Decatur, GA 30030
Phone (404) 748-9691

6918 McGinnis Ferry Rd
Suwanee, GA 30024
Phone (770) 622-5758

6918 McGinnis Ferry Rd
Ste 200
Suwanee, GA 30024
Phone (770) 622-5758

Practitioners & affiliated clinicians

Practitioners 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497865935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 CENTURY BLVD NE",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453319",
            "telephone_number": "404-633-4595",
            "fax_number": "404-633-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 CENTURY BLVD NE",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453319",
            "telephone_number": "404-633-4595",
            "fax_number": "404-633-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDFREN'S MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-633-4595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.