Organization Active NPI

Cima Pediatrics CV, LLC

Doing business as CIMA Kids

  • Pediatrics Physician
  • Chamblee, GA
National Provider Identifier
1669846390
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CIMA PEDIATRICS CV, LLC
Doing business as
CIMA Kids
Practice address
1841 Chamblee Tucker Rd
Suite 1-7B
Chamblee, GA 30341-2754
Phone
(678) 894-4147
Fax
(678) 722-8329
NPI assigned
Nov 18, 2015
Last updated
Nov 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Marcela Quintero
Title
Business Manager
Phone
(404) 250-4447

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X GA
Pediatrics Physician 208000000X GA Primary

Addresses

Primary practice location

1841 Chamblee Tucker Rd
Suite 1-7B
Chamblee, GA 30341-2754

Mailing address

1841 Chamblee Tucker Rd
Suite 1-7B
Chamblee, GA 30341-2754
Phone (678) 894-4147

Other names 1

  • CIMA Kids Doing business as

National Provider Directory

National Provider Directory

Locations

1841 Chamblee Tucker Rd
Ste 1-7B
Chamblee, GA 30341
Phone (678) 894-4147

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1669846390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 CHAMBLEE TUCKER RD",
            "address_2": "SUITE 1-7B",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412754",
            "telephone_number": "678-894-4147",
            "fax_number": "678-215-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 CHAMBLEE TUCKER RD",
            "address_2": "SUITE 1-7B",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412754",
            "telephone_number": "678-894-4147",
            "fax_number": "678-722-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIMA PEDIATRICS CV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "MARCELA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "404-250-4447"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIMA Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chamblee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.