Active NPI
Buford Pediatrics,LLC
- Primary Care Clinic/Center
- Buford, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 044838
- Legal business name
- BUFORD PEDIATRICS,LLC
- Practice address
- 3700 Ridge Rd
Suite'B'
Buford, GA 30519-4035 - Phone
- (678) 804-9398
- Fax
- (678) 804-9415
- NPI assigned
- Jan 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nirmala Bharadwaj, MD
- Title
- Pediatrician, Owner
- Phone
- (678) 804-9398
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 044838 | GA | Primary |
Addresses
Primary practice location
3700 Ridge Rd
Suite'B'
Buford, GA 30519-4035
Mailing address
PO Box 699
Buford, GA 30515-0699
Phone (678) 804-9398
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2028518 | Buford Pediatrics, LLC | Certificate of waiver | Aug 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
3700 Ridge Rd
Buford, GA 30519
Phone (678) 804-9398
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Buford, GA
- NPI 1245214667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325808000000",
"number": "1740550896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "BUFORD",
"state": "GA",
"postal_code": "305150699",
"telephone_number": "678-804-9398",
"fax_number": "678-804-9415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 RIDGE RD",
"address_2": "SUITE'B'",
"city": "BUFORD",
"state": "GA",
"postal_code": "305194035",
"telephone_number": "678-804-9398",
"fax_number": "678-804-9415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUFORD PEDIATRICS,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-06",
"last_updated": "2012-01-06",
"status": "A",
"authorized_official_last_name": "BHARADWAJ",
"authorized_official_first_name": "NIRMALA",
"authorized_official_title_or_position": "PEDIATRICIAN, OWNER",
"authorized_official_telephone_number": "678-804-9398",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "GA",
"license": "044838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.