Active NPI
Pearl Medical & Associates, LLC
Doing business as Pearl Pediatrics and Adolescent medcine
- Primary Care Clinic/Center
- Marietta, GA
National Provider Identifier
1871752410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 052946
- 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, 2008
- 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
- Dr. Angela M. Hall, M.D.
- Title
- Owner/Pediatrician
- Phone
- (770) 952-7477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.