Active NPI
Rockdale Pediatrics Healthcare, PC
- Pediatrics Physician
- Conyers, GA
National Provider Identifier
1861515868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 042296
- Legal business name
- ROCKDALE PEDIATRICS HEALTHCARE, PC
- Practice address
- 2020 Honey Creek Parkway SE,
Suite E
Conyers, GA 30013 - Phone
- (770) 922-0553
- Fax
- (770) 922-6882
- NPI assigned
- Apr 6, 2007
- Last updated
- Aug 22, 2020
- 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
- Mrs. Darakhshan N Jarwar
- Title
- Office Manager
- Phone
- (770) 922-0553
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 042296 | GA | Primary |
Addresses
Primary practice location
2020 Honey Creek Parkway SE,
Suite E
Conyers, GA 30013
Mailing address
2020 Honey Creek Parkway SE,
Suite E
Conyers, GA 30013
Phone (770) 922-0553
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1014495 | Rockdale Pediatrics Healthcare PC | Certificate of waiver | Jul 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
2020 Honey Creek Pkwy SE
Ste E
Conyers, GA 30013
Phone (770) 922-0553
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AHAADA
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.
-
- Pediatrics Physician
- Conyers, GA
- NPI 1790356285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861515868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 HONEY CREEK PARKWAY SE,",
"address_2": "SUITE E",
"city": "CONYERS",
"state": "GA",
"postal_code": "30013",
"telephone_number": "770-922-0553",
"fax_number": "770-922-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 HONEY CREEK PARKWAY SE,",
"address_2": "SUITE E",
"city": "CONYERS",
"state": "GA",
"postal_code": "30013",
"telephone_number": "770-922-0553",
"fax_number": "770-922-6882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKDALE PEDIATRICS HEALTHCARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JARWAR",
"authorized_official_first_name": "DARAKHSHAN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "770-922-0553",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "GA",
"license": "042296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
- Rockdale Hospital LLC (Rockdale Medical Center Home Health)
- Rockdale Hospital LLC (Rockdale Medical Center)
- Rockdale Medical Center Home Health
- Rockdale Medical Center Inc.
- Rockdale Pathology, PC
- Rockdale Physician Practices (Woundcare & Hyperbaric Medicine Associates)
- Rockdale Physician Practices LLC (Rockdale Vascular Associates)
- Rockdale Physician Practices LLC (Essential Family Care)
- Rockdale Physician Practices LLC (Advanced Gynecology Associates)
- Rockdale Physician Practices LLC (Rockdale Orthopedic Center)
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.
- 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.