Conyers Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CONYERS PEDIATRICS, PC

Practice address

1277B Wellbrook Cir NE
Conyers, GA 30012-3873

Phone

(770) 922-5745

Fax

(770) 922-4924

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Alicia W Senn

Title

Practice Administrator

Phone

(770) 922-5745

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 8

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.

• Lynette S Jattan-Cunningham, M.D.

  • Pediatrics Physician
  • Covington, GA
  • NPI 1003964594
  NPD (past)
• Kaitlyn Anne Johnson

  • Pediatrics Physician
  • Conyers, GA
  • NPI 1346807641
  NPD (past)
• April D Joseph, NP

  • Pediatric Nurse Practitioner
  • Jonesboro, GA
  • NPI 1033570353
  NPD (past)
• Ghazala Khalid, MD

  • Pediatrics Physician
  • Covington, GA
  • NPI 1922012269
  NPD (past)
• Shweta Navneet Maheshwari, D.O.

  • Pediatrics Physician
  • Forest Park, GA
  • NPI 1952689200
  NPD (past)
• Nora Rita Patonay, MD

  • Pediatrics Physician
  • Conyers, GA
  • NPI 1942214382
  NPD (past)
• Hugo Alejandro Scornik, M.D.

  • Pediatrics Physician
  • Conyers, GA
  • NPI 1801821475
  NPD (past)
• Jamie Denise Woods Green, M.D.

  • Pediatrics Physician
  • Conyers, GA
  • NPI 1841652922
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831217157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277B WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123873",
            "telephone_number": "770-922-5745",
            "fax_number": "770-922-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277B WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123873",
            "telephone_number": "770-922-5745",
            "fax_number": "770-922-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONYERS PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SENN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-922-5745",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000351G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4544",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conyers Endodontic Center PC (Conyers Endodontic Center)
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• Conyers Ga Opco LLC (Westbury Center of Conyers for Nursing and Healing)
• Conyers Internal Medicine LLC
• Conyers Medical Clinic, PC
• Conyers Psychiatry LLC
• Conyers Smiles Dentistry, PC (Conyers Smiles Dentistry)
• Conyers Walk in Clinic
• Brittany Cook, CRNP
• Dionne Cooley

• Pediatrics Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.