Verras Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

022908 Issued in GA

Legal business name

VERRAS PEDIATRICS PC

Practice address

2181 Northlake Pkwy
BLDG 6 Suite 104
Tucker, GA 30084-4107

Phone

(770) 491-1285

Fax

(770) 491-3164

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Athanasios Verras, MDNPI 1508824392

Title

Owner

Phone

(770) 491-1285

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 8

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

• Athanasios Verras, MD

  • Pediatrics Physician
  • Tucker, GA
  • NPI 1508824392
  NPD (past) Authorized official
• Nita Arias, NP-C

  • Family Nurse Practitioner
  • Tucker, GA
  • NPI 1124782248
  NPD (past)
• Betsy Cherian John, MD

  • Pediatrics Physician
  • Tucker, GA
  • NPI 1467558189
  NPD (past)
• Ofelia S Mandock, M.D.

  • Pediatrics Physician
  • Marietta, GA
  • NPI 1518962414
  NPD (past)
• Qamar U Shaikh, M.D.

  • Pediatrics Physician
  • Tifton, GA
  • NPI 1003879412
  NPD (past)
• Margaret Anne Shaw, RN, PNP-BC

  • Pediatric Nurse Practitioner
  • Tucker, GA
  • NPI 1790904076
  NPD (past)
• Meena Suresh Gurbani, MD

  • Pediatrics Physician
  • San Bernardino, CA
  • NPI 1518015494
  NPD (past)
• Jennifer Ardell Keller, FNP

  • Family Nurse Practitioner
  • Flat Rock, NC
  • NPI 1932601374
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1881809937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 NORTHLAKE PKWY",
            "address_2": "BLDG 6 SUITE 104",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844107",
            "telephone_number": "770-491-1285",
            "fax_number": "770-491-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 NORTHLAKE PKWY",
            "address_2": "BLDG 6 SUITE 104",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844107",
            "telephone_number": "770-491-1285",
            "fax_number": "770-491-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERRAS PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "VERRAS",
        "authorized_official_first_name": "ATHANASIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-491-1285",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "022908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508824392",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geetanjali Vasandani, MD
• Kyra Emonee Vaughan
• Racquel Lewis Vaughn, DMD
• Erica Velker
• Izabella Verbitsky, M.D., PH.D.
• Athanasios Verras, MD
• Adrian Verwayne
• Denisse Evelyn Villa Lopez
• Village Shoe Service, LLC (Village Shoe Service)
• Vision Medical Consulting, P.C. (Georgia Long Term Care and Consulting)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.