Organization Active NPI

Twinkle Pediatrics, LLC

  • Pediatrics Physician
  • Duluth, GA
National Provider Identifier
1528497237
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
059846 Issued in GA
Legal business name
TWINKLE PEDIATRICS, LLC
Practice address
1815 Satellite Blvd
Suite 501
Duluth, GA 30097-5237
Phone
(678) 496-2600
Fax
(678) 496-2700
NPI assigned
Nov 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Dr. Aparna V. Peethambaram, M.D.NPI 1053538629
Title
President
Phone
(678) 496-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 059846 GA Primary

Addresses

Primary practice location

1815 Satellite Blvd
Suite 501
Duluth, GA 30097-5237

Mailing address

1815 Satellite Blvd
Suite 501
Duluth, GA 30097-5237
Phone (678) 496-2600

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
11D2071653Twinkle Pediatrics, LLC1815 Satellite Blvd #501, Duluth, GA 30097Certificate of waiverJan 15, 2028

National Provider Directory

National Provider Directory

Locations

1815 Satellite Blvd
Ste 501
Duluth, GA 30097
Phone (678) 496-2600

Practitioners & affiliated clinicians

Practitioners 1

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": "1383436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1528497237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SATELLITE BLVD",
            "address_2": "SUITE 501",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975237",
            "telephone_number": "678-496-2600",
            "fax_number": "678-496-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SATELLITE BLVD",
            "address_2": "SUITE 501",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975237",
            "telephone_number": "678-496-2600",
            "fax_number": "678-496-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWINKLE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-03",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "PEETHAMBARAM",
        "authorized_official_first_name": "APARNA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-496-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "059846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.