Pediatric Pulmonology of Central Ga

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

Legal business name

PEDIATRIC PULMONOLOGY OF CENTRAL GA

Practice address

1062 Forsyth St
Suite 2 C
Macon, GA 31201-8637

Phone

(478) 755-0036

Fax

(478) 755-1254

NPI assigned

Jul 25, 2011

Organization subpart

No

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

Authorized official

Name

Tammy R Cobb

Title

Billing MGR

Phone

(478) 755-0036

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d56d19c5-1f59-4682-8c35-bc6d80287bb8/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James J Logan, MD

  • Pediatric Pulmonology Physician
  • Macon, GA
  • NPI 1881630655
  NPD (past)

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1629356670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST",
            "address_2": "SUITE 2 C",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018637",
            "telephone_number": "478-755-0036",
            "fax_number": "478-755-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST",
            "address_2": "SUITE 2 C",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018637",
            "telephone_number": "478-755-0036",
            "fax_number": "478-755-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PULMONOLOGY OF CENTRAL GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "478-755-0036"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000670535J",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "319745",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Care of Macon, LLC
• Pediatric Dentistry Asleep of Georgia LLC
• Pediatric Dentistry of Central Georgia - Macon LLC
• Pediatric Mobility
• Pediatric Mobility
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Pediatrix Medical Group
• Amy Johnson Peed, AU.D.M
• Jacqueline Peed
• Ross T Peery, MS, LPC

• Pediatric Pulmonology Physician in Macon, GA
• Providers in Macon, GA by specialty
• Pediatric Pulmonology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.