NPIMap

Organization Active NPI

Monroe Pediatrics

  • Pediatrics Physician
  • Monroe, GA
National Provider Identifier
1851422919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
051332 Issued in GA
Legal business name
MONROE PEDIATRICS
Practice address
218 Martin Luther King Jr Blvd
Monroe, GA 30655-5622
Phone
(770) 207-7916
Fax
(770) 267-9840
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andrea V Hill, M.D.NPI 1225039472
Title
Owner
Phone
(770) 207-7916

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 051332 GA Primary

Addresses

Primary practice location

218 Martin Luther King Jr Blvd
Monroe, GA 30655-5622

Mailing address

218 Martin Luther King Jr Blvd
Monroe, GA 30655-5622
Phone (770) 207-7916

Other identifiers 1

IdentifierTypeStateIssuer
00949132AMedicaidGA

National Provider Directory

National Provider Directory

Locations

218 Mlk Jr Blvd
Monroe, GA 30655
Phone (770) 207-7916

517 Great Oaks Dr
Ste 103
Monroe, GA 30655
Phone (770) 207-7916

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851422919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MARTIN LUTHER KING JR BLVD",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306555622",
            "telephone_number": "770-207-7916",
            "fax_number": "770-267-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MARTIN LUTHER KING JR BLVD",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306555622",
            "telephone_number": "770-207-7916",
            "fax_number": "770-267-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-207-7916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "051332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00949132A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.