Active NPI
Saturn Pediatrics, P.C.
- Pediatrics Physician
- Snellville, GA
National Provider Identifier
1740565092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SATURN PEDIATRICS, P.C.
- Practice address
- 1700 Tree LN
Suite 160
Snellville, GA 30078-6765 - Phone
- (770) 979-3989
- Fax
- (770) 979-4330
- NPI assigned
- Oct 19, 2011
- 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
- Rose B Badaruddin, M.D.
- Title
- President
- Phone
- (770) 979-3989
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1700 Tree LN
Suite 160
Snellville, GA 30078-6765
Mailing address
1700 Tree LN
Suite 160
Snellville, GA 30078-6765
Phone (770) 979-3989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000553616A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319155200000",
"number": "1740565092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 TREE LN",
"address_2": "SUITE 160",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786765",
"telephone_number": "770-979-3989",
"fax_number": "770-979-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 TREE LN",
"address_2": "SUITE 160",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786765",
"telephone_number": "770-979-3989",
"fax_number": "770-979-4330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SATURN PEDIATRICS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-19",
"last_updated": "2011-10-21",
"status": "A",
"authorized_official_last_name": "BADARUDDIN",
"authorized_official_first_name": "ROSE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-979-3989",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000553616A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
- Sonia Sangster
- Shailaja R. Sappati, MD
- Sapphire Personal Care Associates LTD. (SPCA Health Care)
- Shannon Maria Saroka, NP
- Andrew Boyd Sasser
- Sawyer Inpatient Services, LLC
- Sawyer Inpatient Services, LLC
- Judith Scales
- Scenic Route Enterprises Inc (Senior Helpers)
- Scepter Rehabilitation and Healthcare Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.