Healthy Stages Pediatrics

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN159492 Issued in GA

Legal business name

HEALTHY STAGES PEDIATRICS

Practice address

1115 Mount Zion Rd
Suite E
Morrow, GA 30260-2266

Phone

(770) 960-9999

Fax

(770) 960-0931

NPI assigned

Dec 17, 2014

Last updated

Dec 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Naiomi M Shockley, APRNNPI 1457486425

Title

Owner

Phone

(770) 960-9999

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Naiomi Michelle Shockley, CPNP

  • Pediatric Nurse Practitioner
  • Morrow, GA
  • NPI 1457486425

  Pediatrics

  NPD (past) Authorized official
• Harvey J Danits, MD

  • Pediatrics Physician
  • Morrow, GA
  • NPI 1922030105
  NPD (past)
• Anderia Shirrell Rhodes-Bigham, N.P.

  • Pediatric Nurse Practitioner
  • Decatur, GA
  • NPI 1568627255

  Pediatrics

  NPD (past)
• Michele Lee Wiegmann-Ross, CPNP

  • Pediatric Nurse Practitioner
  • Morrow, GA
  • NPI 1619169968

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1821496241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MOUNT ZION RD",
            "address_2": "SUITE E",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602266",
            "telephone_number": "770-960-9999",
            "fax_number": "770-960-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MOUNT ZION RD",
            "address_2": "SUITE E",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602266",
            "telephone_number": "770-960-9999",
            "fax_number": "770-960-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY STAGES PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "NAIOMI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-960-9999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN159492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter S. Harvey, M.D.
• Hadiyah Sabreen Hasan
• Nanella Elizabeth Haynes
• Health Services of Central Georgia, Inc (AHN Clayton State Clinic)
• Healthstar Atlanta
• Megha Subbarao Hegde, DMD
• Tonya Lynn Hegwood, MSW, LCSW
• Helping Hands Treatment Inc
• Kim Henry, D.M.D.
• Kiah Hickman

• Pediatric Nurse Practitioner in Morrow, GA
• Providers in Morrow, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.