Active NPI
Storybook Pediatrics, P.C.
- Specialist
- McDonough, GA
National Provider Identifier
1821315326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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, 2019
- 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
- Ronnie Smith, MD
- Title
- President
- Phone
- (678) 583-9071
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000794197 | Medicaid | GA |
Other names 1
- Ron Smith MD Pediatrics & Adolescent Medicine, P.C.
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ronsmithmd.com |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0980676 | Storybook Pediatrics, PC | Compliance | Mar 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Nurse Practitioner
- Griffin, GA
- NPI 1669179370
-
- Pediatrics Physician
- Douglas, GA
- NPI 1538135454
-
- Pediatrics Physician
- Macon, GA
- NPI 1891780094
-
- Pediatric Nurse Practitioner
- McDonough, GA
- NPI 1417654039
-
- Pediatrics Physician
- McDonough, GA
- NPI 1063035269
-
- Pediatric Nurse Practitioner
- McDonough, GA
- NPI 1003466483
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.