Organization Active NPI

Just US Kids Pediatrics, PC

  • Pediatrics Physician
  • Newnan, GA
National Provider Identifier
1821355447
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
JUST US KIDS PEDIATRICS, PC
Practice address
2462 Highway 34 East
Suite a
Newnan, GA 30265
Phone
(770) 683-5437
Fax
(770) 683-3758
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Regina Justice, M.D.NPI 1073560959
Title
Ceo/Owner
Phone
(678) 491-7657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X GA Primary
Primary Care Clinic/Center 261QP2300X 47777 GA

Addresses

Primary practice location

2462 Highway 34 East
Suite a
Newnan, GA 30265

Mailing address

2462 Highway 34 East
Suite a
Newnan, GA 30265
Phone (770) 683-5437

Other identifiers 2

IdentifierTypeStateIssuer
1073560959OtherINDIVIDUAL NPI
47777OtherGAGEORGIA LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Just US Kids Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 Oak Hill Blvd
Newnan, GA 30265
Phone (770) 683-5437

2462 Highway 34 E
Newnan, GA 30265
Phone (770) 580-3057

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1821355447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2462 HIGHWAY 34 EAST",
            "address_2": "SUITE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "770-683-5437",
            "fax_number": "770-683-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 HIGHWAY 34 EAST",
            "address_2": "SUITE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "770-683-5437",
            "fax_number": "770-683-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST US KIDS PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "678-491-7657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "47777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1073560959",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "47777",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.