The Nemours Foundation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

THE NEMOURS FOUNDATION

Doing business as

Nemours Children's Clinic Georgia

Practice address

3025 Shrine Rd Ste 350
Brunswick, GA 31520-4786

Phone

(912) 466-7230

Fax

(912) 466-7233

NPI assigned

Mar 28, 2014

Last updated

Mar 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rodney McKendree

Title

Chief Financial Officer

Phone

(904) 697-5628

Specialties & licenses 1

Addresses

Other names 1

• Nemours Children's Clinic Georgia Doing business as

Tax ID family

Nemours Children's Health Fort Walton Beach Specialty Care75 organizations share this tax ID, including this one

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1629495510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 CENTURION PKWY N",
            "address_2": "C/O MANAGED CARE DEPARTMENT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560532",
            "telephone_number": "904-697-5628",
            "fax_number": "904-697-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 350",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204786",
            "telephone_number": "912-466-7230",
            "fax_number": "912-466-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEMOURS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "MCKENDREE",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "904-697-5628"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nemours Children's Clinic Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Temple, RN
• Karen Jean Terrell, NP-C
• The Brain and Spine Center of Southeast Ga
• The Eupatheia Center Inc
• The Medicine Cabinet of Brunswick, LLC (Medical Center Pharmacy)
• The Resiliency Institiute
• The Resiliency Institute, Inc
• The Sleep Professionals, Inc. (The Sleep Disorders Center of Jesup)
• The Spine Treatment Center,LLC
• Therapeutic Coaching Training & Consulting LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.