Active NPI
Sunrise Pediatric Neurology
- Child & Adolescent Psychiatry Physician
- Marietta, GA
National Provider Identifier
1841732138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- SUNRISE PEDIATRIC NEUROLOGY
- Practice address
- 3417 Canton Rd
Building1
Marietta, GA 30066-2896 - Phone
- (678) 606-5700
- NPI assigned
- Nov 17, 2016
- Last updated
- Nov 17, 2016
- 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
- Cherise Frazier
- Title
- Owner
- Phone
- (678) 606-5700
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | NU | Primary |
Addresses
Primary practice location
3417 Canton Rd
Building1
Marietta, GA 30066-2896
Mailing address
3417 Canton Rd
Building 1
Marietta, GA 30066-2896
Phone (678) 606-5700
National Provider Directory
National Provider DirectoryLocations
3417 Canton Rd
Bldg 1
Marietta, GA 30066
Phone (678) 606-5700
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Atlanta, GA
- NPI 1689833683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479340800000",
"number": "1841732138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 CANTON RD",
"address_2": "BUILDING 1",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300662896",
"telephone_number": "678-606-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3417 CANTON RD",
"address_2": "BUILDING1",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300662896",
"telephone_number": "678-606-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE PEDIATRIC NEUROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-17",
"last_updated": "2016-11-17",
"status": "A",
"authorized_official_last_name": "FRAZIER",
"authorized_official_first_name": "CHERISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-606-5700"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
- Sunny Skies ABA Ga LLC
- Sharon Sunny
- Sunrise Enterprises Inc (Mountainview Pharmacy Long-Term Care)
- Sunrise Enterprises Inc (mountainview pharmacy)
- Sunrise Horizons, LLC (FirstLight Home Care of Metro Atlanta)
- Superior Dental of East Cobb, LLC
- Superior Healthcare Staffing LLC
- Supported Employment Specialists
- Supreme Motor Sportz LLC
- Hema Sura, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.