Active NPI
Sheridan Children'S Healthcare Services of Georgia, LLC
- Neonatal-Perinatal Medicine Physician
- Athens, GA
National Provider Identifier
1790018273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- Legal business name
- SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF GEORGIA, LLC
- Practice address
- 1199 Prince Ave
Athens, GA 30606-2797 - Phone
- (706) 475-7000
- NPI assigned
- Sep 15, 2009
- 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. M. Richard Auerbach, MD
- Title
- President
- Phone
- (954) 838-2371
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | Primary | ||
| Audiologist | 231H00000X |
Addresses
Primary practice location
1199 Prince Ave
Athens, GA 30606-2797
Mailing address
PO Box 452528
Sunrise, FL 33345-2528
Phone (954) 838-2371
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424995200000",
"number": "1790018273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452528",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333452528",
"telephone_number": "954-838-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 PRINCE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062797",
"telephone_number": "706-475-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF GEORGIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-15",
"last_updated": "2015-02-27",
"status": "A",
"authorized_official_last_name": "AUERBACH",
"authorized_official_first_name": "M. RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-838-2371",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.