Organization Active NPI

Teens Little Ones and Children Pediactrics,LLC

  • Primary Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1689826273
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
047431 Issued in GA
Legal business name
TEENS LITTLE ONES AND CHILDREN PEDIACTRICS,LLC
Practice address
2600 Martin Luther King Jr Dr SW
Suite 300
Atlanta, GA 30311-1636
Phone
(404) 691-4321
NPI assigned
Oct 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Cathyann Gittens-Arnett
Title
Manager
Phone
(404) 691-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 047431 GA Primary

Addresses

Primary practice location

2600 Martin Luther King Jr Dr SW
Suite 300
Atlanta, GA 30311-1636

Mailing address

2600 Martin Luther King Jr Dr SW
Suite 300
Atlanta, GA 30311-1636
Phone (404) 691-4321

Other identifiers 1

IdentifierTypeStateIssuer
85002281GMedicaidGA

Other names 1

  • T.L.C. PEDIATRICS,LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1689826273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MARTIN LUTHER KING JR DR SW",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111636",
            "telephone_number": "404-691-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MARTIN LUTHER KING JR DR SW",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111636",
            "telephone_number": "404-691-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEENS LITTLE ONES AND CHILDREN PEDIACTRICS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "GITTENS-ARNETT",
        "authorized_official_first_name": "CATHYANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-691-4321"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "047431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002281G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T.L.C. PEDIATRICS,LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.