NPIMap

Organization Active NPI

Children 1St Pediatrics

  • Primary Care Clinic/Center
  • Fayetteville, GA
National Provider Identifier
1821461484
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
RN090519 Issued in GA
Legal business name
CHILDREN 1ST PEDIATRICS
Practice address
101 Beckett LN
Suite 502
Fayetteville, GA 30214-7155
Phone
(678) 817-1000
NPI assigned
Nov 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Mrs. Valarie Wright Manley, M.D.
Title
Physician
Phone
(678) 817-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X RN090519 GA Primary

Addresses

Primary practice location

101 Beckett LN
Suite 502
Fayetteville, GA 30214-7155

Mailing address

101 Beckett LN
Suite 502
Fayetteville, GA 30214-7155
Phone (678) 817-1000

National Provider Directory

National Provider Directory
Tax ID family
Children 1St 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

101 Beckett Ln
Ste 502
Fayetteville, GA 30214
Phone (678) 817-1000

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1821461484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BECKETT LN",
            "address_2": "SUITE 502",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147155",
            "telephone_number": "678-817-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BECKETT LN",
            "address_2": "SUITE 502",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147155",
            "telephone_number": "678-817-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN 1ST PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "VALARIE",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "678-817-1000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "RN090519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.