NPIMap

Organization Active NPI

White's Pediatrics Urgent Care

  • Pediatrics Physician
  • Dalton, GA
National Provider Identifier
1851692016
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
GA0226677 Issued in GA
Legal business name
WHITE'S PEDIATRICS URGENT CARE
Practice address
1575 Chattanooga Avenue
Dalton, GA 30720-2672
Phone
(706) 876-2130
Fax
(706) 876-2167
NPI assigned
Nov 4, 2010
Last updated
Apr 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Mendy Harbour
Title
Billing Manager
Phone
(706) 876-2179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X GA0226677 GA Primary

Addresses

Primary practice location

1575 Chattanooga Avenue
Dalton, GA 30720-2672

Mailing address

1575 Chattanooga Avenue
Dalton, GA 30720-2672
Phone (706) 876-2130

National Provider Directory

National Provider Directory

Locations

1575 Chattanooga Ave
Dalton, GA 30720
Phone (706) 876-2130

Practitioners & affiliated clinicians

Practitioners 10

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": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1851692016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 CHATTANOOGA AVENUE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202672",
            "telephone_number": "706-876-2130",
            "fax_number": "706-876-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 CHATTANOOGA AVENUE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202672",
            "telephone_number": "706-876-2130",
            "fax_number": "706-876-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE'S PEDIATRICS URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "HARBOUR",
        "authorized_official_first_name": "MENDY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "706-876-2179"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "GA0226677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.