Athen Kids Specialists P.C

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ATHEN KIDS SPECIALISTS P.C

Practice address

650 Oglethorpe Ave.
Ste 4
Athens, GA 30303-2216

Phone

(706) 543-9899

Fax

(956) 283-1889

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Josephine T. Lopez, MDNPI 1285699199

Title

Owner

Phone

(706) 543-9899

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Athen Kids Specialists PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Athens Kids Specialists, PC

  • Pediatrics Physician
  • Athens, GA
  • NPI 1801955018
  NPD tax ID

Locations

Practitioners 1

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

• Josephine T Lopez, MD

  • Pediatrics Physician
  • Athens, GA
  • NPI 1285699199
  NPD (past) Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881757193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 OGLETHORPE AVE.",
            "address_2": "STE 4",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "303032216",
            "telephone_number": "706-543-9899",
            "fax_number": "956-283-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 OGLETHORPE AVE.",
            "address_2": "STE 4",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "303032216",
            "telephone_number": "706-543-9899",
            "fax_number": "956-283-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHEN KIDS SPECIALISTS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-543-9899",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF GA",
            "identifier": "197380",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "341305",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "8668423278",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10056366",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley E Hill DMD LLC
• Ashley N. Pettoni, Psy.D., PC
• Randan Ludlow Ashmore, DMD
• Ronald B. Atchley, MD
• Njika Atemnkeng, MD
• Athena Hospice, LLC
• Athena Urology Surgery Center LLC
• Athens Addiction Recovery Center, L.L.C.
• Athens Area Commencement Center
• Athens Area Counseling Center

• Pediatrics Physician in Athens, GA
• Providers in Athens, GA by specialty
• Pediatrics Physician in Georgia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.