Pediatric Associates of Thomaston, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF THOMASTON, INC

Practice address

331 W Main St
Thomaston, GA 30286-3502

Phone

(706) 646-4543

Fax

(706) 938-0401

NPI assigned

May 22, 2007

Last updated

Sep 11, 2013By 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

Dr. Kathy E Mansfield, MDNPI 1538242169

Title

Ceo

Phone

(706) 646-4543

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 1

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.

• Kathy E Mansfield, MD

  • Pediatrics Physician
  • Thomaston, GA
  • NPI 1538242169
  NPD (past) Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1689884694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 W MAIN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863502",
            "telephone_number": "706-646-4543",
            "fax_number": "706-938-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W MAIN ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863502",
            "telephone_number": "706-646-4543",
            "fax_number": "706-938-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF THOMASTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-646-4543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean P Parker, PA-C
• Alyssa Patel, PA
• John W Patrick, M.D.
• Amy Oglesby Peacock, PHARM D
• Jason Randall Pearce, M.D.
• Leah Marie Pendleton, PHARMD
• Elaine Penny, OTRL
• James Brody Peoples, PHARMD
• David Allen Peterson, MD
• Briana Brooke Peyton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.