Organization Active NPI

Lilburn Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Lilburn, GA
National Provider Identifier
1871731828
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
21633 Issued in GA
Legal business name
LILBURN PEDIATRICS
Practice address
4025 Lawrenceville Hwy NW
Suite B
Lilburn, GA 30047-2819
Phone
(770) 381-0307
NPI assigned
Jan 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Dr. Vijay AroraNPI 1487610929
Title
Physician
Phone
(770) 381-0307

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080A0000X 21633 GA Primary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080A0000X 058358 GA

Addresses

Primary practice location

4025 Lawrenceville Hwy NW
Suite B
Lilburn, GA 30047-2819

Mailing address

4025 Lawrenceville Hwy NW
Suite B
Lilburn, GA 30047-2819
Phone (770) 381-0307

National Provider Directory

National Provider Directory

Locations

4025 Lawrenceville Hwy NW
Ste B
Lilburn, GA 30047
Phone (770) 381-0307

4025 Lawrenceville Hwy NW
Lilburn, GA 30047
Phone (770) 559-3501

Practitioners & affiliated clinicians

Practitioners 2

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": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1871731828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472819",
            "telephone_number": "770-381-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472819",
            "telephone_number": "770-381-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILBURN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-381-0307",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "21633",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "058358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.