Georgia Pediatric Cardiology

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

GEORGIA PEDIATRIC CARDIOLOGY

Practice address

1045 Southcrest Dr
Ste 220
Stockbridge, GA 30281-6113

Phone

(678) 289-1988

Fax

(678) 289-1512

NPI assigned

Aug 24, 2005

Organization subpart

No

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

Authorized official

Name

David W Jones, MDNPI 1245223304

Title

President

Phone

(678) 289-1988

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• David W Jones, MD

  • Pediatric Cardiology Physician
  • Stockbridge, GA
  • NPI 1245223304
  NPD (past) Authorized official
• Serge Geffrard, M.D.

  • Hospitalist Physician
  • Stockbridge, GA
  • NPI 1700838273

  Pediatric Cardiology

  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1861485914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 SOUTHCREST DR",
            "address_2": "STE 220",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816113",
            "telephone_number": "678-289-1988",
            "fax_number": "678-289-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 SOUTHCREST DR",
            "address_2": "STE 220",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816113",
            "telephone_number": "678-289-1988",
            "fax_number": "678-289-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PEDIATRIC CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-289-1988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia CVS Pharmacy, L.L.C.
• Georgia Geriatrics and Rehabilitation
• Georgia Health Group
• Georgia Interventional Pain - J, LLC
• Georgia Pain and Wellness Center
• Georgia Sleep and Neurodiagnostic
• Georgia South Hand Therapy, Inc
• Georgia Urology PA
• Geraldine Jackson
• Rodarline Gerard, CRNA

• Pediatric Cardiology Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Pediatric Cardiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.