Mindful Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MINDFUL PEDIATRICS LLC

Practice address

11705 Jones Bridge Rd Ste A201
Johns Creek, GA 30005-5080

Phone

(678) 972-1952

Fax

(678) 737-1858

NPI assigned

May 8, 2023

Last updated

May 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Priya Susan Thomas, MDNPI 1659717536

Title

Physician

Phone

(516) 305-9378

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Priya Susan Thomas

  • Pediatrics Physician
  • Alpharetta, GA
  • NPI 1659717536
  NPD (past) Authorized official

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1891485462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11705 JONES BRIDGE RD STE A201",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300055080",
            "telephone_number": "678-972-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 JONES BRIDGE RD STE A201",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300055080",
            "telephone_number": "678-972-1952",
            "fax_number": "678-737-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-305-9378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milestones ABA LLC
• Jessica Beth Miller, DPT
• Kadijatu Sowe Milord
• Ji Hea Min, PHARM.D.
• Mind and Body Wellness Center Inc.
• Mindpath Wellness
• Minimed Distribution Corp.
• Michelza Mitchell
• Wesley Gregory Mitchell Jr., MSA,CSA
• Sarah Miriam Mixson, LMSW

• Pediatrics Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.