NPIMap

Organization Active NPI

Jill Overcash LLC

Doing business as All About Kids Pediatrics

  • Pediatrics Physician
  • Lawrenceville, GA
National Provider Identifier
1568664563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
051340 Issued in GA
Legal business name
JILL OVERCASH LLC
Doing business as
All About Kids Pediatrics
Practice address
945 River Centre Place
Suite 200
Lawrenceville, GA 30043
Phone
(678) 646-0404
Fax
(678) 646-0202
NPI assigned
Jun 1, 2007
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. Jill Jowers Overcash, M.D. FAAPNPI 1922088343
Title
Ceo
Phone
(678) 261-7455

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 051340 GA Primary

Addresses

Primary practice location

945 River Centre Place
Suite 200
Lawrenceville, GA 30043

Mailing address

1150 Steeple Run
Lawrenceville, GA 30043-4038
Phone (678) 646-0404

Other names 1

  • All About Kids Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

945 River Centre Pl
Ste 200
Lawrenceville, GA 30043
Phone (678) 646-0404

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568664563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 STEEPLE RUN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434038",
            "telephone_number": "678-646-0404",
            "fax_number": "678-646-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 RIVER CENTRE PLACE",
            "address_2": "SUITE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30043",
            "telephone_number": "678-646-0404",
            "fax_number": "678-646-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL OVERCASH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OVERCASH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "JOWERS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-261-7455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.  FAAP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "051340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Kids Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, 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.