Norcross Pediatric Clinic Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

044941 Issued in GA

Legal business name

NORCROSS PEDIATRIC CLINIC INC

Practice address

4608 Jimmy Carter Blvd Ste 7
Norcross, GA 30093-3758

Phone

(770) 938-6966

Fax

(770) 938-6968

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Loan Hong Huynh, M.D.

Title

Ceo

Phone

(770) 938-6966

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

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568516615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 JIMMY CARTER BLVD STE 7",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933758",
            "telephone_number": "770-938-6966",
            "fax_number": "770-938-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 JIMMY CARTER BLVD STE 7",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933758",
            "telephone_number": "770-938-6966",
            "fax_number": "770-938-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCROSS PEDIATRIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "LOAN",
        "authorized_official_middle_name": "HONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-938-6966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "044941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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.
• 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.