Active NPI
Tri County Pediatrics
- Pediatrics Physician
- Stockbridge, GA
National Provider Identifier
1609558659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- TRI COUNTY PEDIATRICS
- Practice address
- 193 N Park TRL
Suite 100
Stockbridge, GA 30281 - Phone
- (770) 389-0116
- NPI assigned
- Aug 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arista Pittman
- Title
- Office Manager
- Phone
- (404) 234-7080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
193 N Park TRL
Suite 100
Stockbridge, GA 30281
Mailing address
193 N Park TRL
Suite 100
Stockbridge, GA 30281
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0892404 | Tri-County Pediatrics | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Tri County Pediatrics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Riverdale, GA
- NPI 1285859413
Locations
193 N Park Trl
Ste 100
Stockbridge, GA 30281
Phone (770) 389-0116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690848000000",
"number": "1609558659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 N PARK TRL",
"address_2": "SUITE 100",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "30281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 N PARK TRL",
"address_2": "SUITE 100",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "30281",
"telephone_number": "770-389-0116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI COUNTY PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-01",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A",
"authorized_official_last_name": "PITTMAN",
"authorized_official_first_name": "ARISTA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "404-234-7080"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.