Organization Active NPI

Saturn Pediatrics, P.C.

  • Pediatrics Physician
  • Snellville, GA
National Provider Identifier
1740565092
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Oct 21, 2011

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000553616AMedicaidGA

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.