Organization Active NPI

Pearl Medical & Associates, LLC

Doing business as Pearl Pediatrics and Adolescent medcine

  • Primary Care Clinic/Center
  • Marietta, GA
National Provider Identifier
1871752410
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
052946 Issued in GA
Legal business name
PEARL MEDICAL & ASSOCIATES, LLC
Doing business as
Pearl Pediatrics and Adolescent medcine
Practice address
2550 Windy Hill Rd SE Ste 109
Marietta, GA 30067-8607
Phone
(770) 952-7477
NPI assigned
Jun 9, 2008
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. Angela M. Hall, M.D.
Title
Owner/Pediatrician
Phone
(770) 952-7477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 052946 GA Primary

Addresses

Primary practice location

2550 Windy Hill Rd SE Ste 109
Marietta, GA 30067-8607

Mailing address

2550 Windy Hill Rd SE Ste 109
Marietta, GA 30067-8607
Phone (770) 952-7477

Other names 1

  • Pearl Pediatrics and Adolescent medcine Doing business as

National Provider Directory

National Provider Directory

Locations

2550 Windy Hill Rd SE
Ste 109
Marietta, GA 30067
Phone (404) 508-5315

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1871752410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE STE 109",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678607",
            "telephone_number": "770-952-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE STE 109",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678607",
            "telephone_number": "770-952-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL MEDICAL & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PEDIATRICIAN",
        "authorized_official_telephone_number": "770-952-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "052946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Pediatrics and Adolescent medcine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.