NPIMap

Organization Active NPI

Dr.Soos Pediatrics, PC

  • Pediatrics Physician
  • Dublin, GA
National Provider Identifier
1851676589
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DR.SOOS PEDIATRICS, PC
Practice address
102 Bowling LN
Dublin, GA 31021-2502
Phone
(478) 272-0203
Fax
(478) 272-0223
NPI assigned
Oct 13, 2011
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Miss Mallory Lee
Title
Billing/Credentialing
Phone
(478) 272-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

102 Bowling LN
Dublin, GA 31021-2502

Mailing address

102 Bowling LN
Dublin, GA 31021-2502
Phone (478) 272-0203

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1068770Dr Soos Pediatrics PC102 Bowling Lane, Dublin, GA 31021ComplianceDec 12, 2027

National Provider Directory

National Provider Directory

Locations

102 Bowling Ln
Dublin, GA 31021
Phone (478) 272-0203

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1851676589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BOWLING LN",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212502",
            "telephone_number": "478-272-0203",
            "fax_number": "478-272-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BOWLING LN",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212502",
            "telephone_number": "478-272-0203",
            "fax_number": "478-272-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.SOOS PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "478-272-0203",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

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