Organization Active NPI

Pinnacle Pediatrics PC

  • Pediatrics Physician
  • Hiram, GA
National Provider Identifier
1598930141
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
056055 Issued in GA
Legal business name
PINNACLE PEDIATRICS PC
Practice address
5604 Wendy Bagwell Pkwy
Suite 1111
Hiram, GA 30141-7813
Phone
(678) 944-0060
Fax
(678) 944-0070
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Zenia Isadora Fleming, M.D.NPI 1720079486
Title
Owner
Phone
(678) 944-0060

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 Physician 208000000X 056055 GA Primary

Addresses

Primary practice location

5604 Wendy Bagwell Pkwy
Suite 1111
Hiram, GA 30141-7813

Mailing address

5604 Wendy Bagwell Pkwy
Suite 1111
Hiram, GA 30141-7813
Phone (678) 944-0060

National Provider Directory

National Provider Directory

Locations

5604 Wendy Bagwell Pkwy
Ste 1111
Hiram, GA 30141
Phone (678) 944-0060

Practitioners & affiliated clinicians

Practitioners 2

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": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1598930141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 WENDY BAGWELL PKWY",
            "address_2": "SUITE 1111",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301417813",
            "telephone_number": "678-944-0060",
            "fax_number": "678-944-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 WENDY BAGWELL PKWY",
            "address_2": "SUITE 1111",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301417813",
            "telephone_number": "678-944-0060",
            "fax_number": "678-944-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "ZENIA",
        "authorized_official_middle_name": "ISADORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-944-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "056055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.