Organization Active NPI

Storybook Pediatrics, P.C.

  • Specialist
  • McDonough, GA
National Provider Identifier
1821315326
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
STORYBOOK PEDIATRICS, P.C.
Practice address
130 Enterprise Pkwy
McDonough, GA 30253-9000
Phone
(978) 583-9071
Fax
(678) 583-9319
NPI assigned
Apr 23, 2010
Last updated
Jul 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronnie Smith, MD
Title
President
Phone
(678) 583-9071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

130 Enterprise Pkwy
McDonough, GA 30253-9000

Mailing address

130 Enterprise Pkwy
McDonough, GA 30253-9000
Phone (978) 583-9071

Other identifiers 1

IdentifierTypeStateIssuer
000794197MedicaidGA

Other names 1

  • Ron Smith MD Pediatrics & Adolescent Medicine, P.C. Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ronsmithmd.com

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0980676Storybook Pediatrics, PC130 Enterprise Parkway, McDonough, GA 30253ComplianceMar 21, 2027

National Provider Directory

National Provider Directory

Locations

130 Enterprise Pkwy
McDonough, GA 30253
Phone (678) 583-9071

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1821315326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ENTERPRISE PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539000",
            "telephone_number": "978-583-9071",
            "fax_number": "678-583-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ENTERPRISE PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539000",
            "telephone_number": "978-583-9071",
            "fax_number": "678-583-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORYBOOK PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-583-9071",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000794197",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ronsmithmd.com",
            "affiliation": "N",
            "endpointDescription": "Secure Server",
            "address_1": "130 Enterprise Pkwy",
            "city": "McDonough",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302539000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ron Smith MD Pediatrics & Adolescent Medicine, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.

Verify at the official NPI Registry.