NPIMap

Organization Active NPI

McDonough Pediatrics

  • Pediatrics Physician
  • McDonough, GA
National Provider Identifier
1669668125
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
031549 Issued in GA
Legal business name
MCDONOUGH PEDIATRICS
Practice address
101 Regency Park Dr
Ste 140
McDonough, GA 30253-7080
Phone
(770) 957-8626
NPI assigned
Sep 19, 2007
Last updated
Sep 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Sekhar C SankaranNPI 1912943952
Title
Physican
Phone
(770) 957-8626

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 031549 GA Primary

Addresses

Primary practice location

101 Regency Park Dr
Ste 140
McDonough, GA 30253-7080

Mailing address

101 Regency Park Dr
Ste 140
McDonough, GA 30253-7080

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0710697McDonough Pediatrics PC101 Regency Park Dr Suite 140, McDonough, GA 30253Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

101 Regency Park Dr
Ste 140
McDonough, GA 30253
Phone (770) 957-8626

Practitioners & affiliated clinicians

Practitioners 10

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": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1669668125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 REGENCY PARK DR",
            "address_2": "STE 140",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 REGENCY PARK DR",
            "address_2": "STE 140",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537080",
            "telephone_number": "770-957-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONOUGH PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "SANKARAN",
        "authorized_official_first_name": "SEKHAR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "770-957-8626"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "031549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.

Verify at the official NPI Registry.