Children's Medical Center, P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2005-7681 Issued in GA

Legal business name

CHILDREN'S MEDICAL CENTER, P.A.

Practice address

1676 Mulkey Rd Ste C
Austell, GA 30106-1172

Phone

(770) 941-5107

Fax

(770) 944-1013

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By 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

Julie Morris Jr.

Title

Business Manager

Phone

(770) 941-5107

Specialties & licenses 1

Addresses

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.

• Richard Ralph Kaiser, M.D.

  • Pediatric Adolescent Medicine Physician
  • Austell, GA
  • NPI 1467522136
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821114000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 MULKEY RD STE C",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061172",
            "telephone_number": "770-941-5107",
            "fax_number": "770-944-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 MULKEY RD STE C",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061172",
            "telephone_number": "770-941-5107",
            "fax_number": "770-944-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S MEDICAL CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "770-941-5107",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "2005-7681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Chavis, PA-C
• Praver Chandan Chemudupati Parven
• Paul Kibet Chemwor, RPH
• Rebecca Faye Chester, LCSW
• Children's Medical Associates, LLC
• Childrens Dentistry of Austell
• Chiropractic Game Changers, LLC (LifeGiving Chiropractic)
• Harini Chittineni, MD
• Sarah Choi-Wilbur
• Leslie A Choy-Hee, MD

• Primary Care Clinic/Center in Austell, GA
• Providers in Austell, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.