Active NPI
Just US Kids Pediatrics, PC
- Pediatrics Physician
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Regina Justice, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073560959 | Other | INDIVIDUAL NPI | |
| 47777 | Other | GA | GEORGIA LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Just US Kids Pediatrics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Columbus, GA
- NPI 1639439631
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.
-
- Physician Assistant
- Newnan, GA
- NPI 1295011146
-
- Physician Assistant
- Marietta, GA
- NPI 1386129724
-
- Family Nurse Practitioner
- Newnan, GA
- NPI 1679143515
-
- Pediatric Nurse Practitioner
- Newnan, GA
- NPI 1750772232
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.