Active NPI
Pediatric Wellness Associates LLLP
- Pediatrics Physician
- Roswell, GA
National Provider Identifier
1902433832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRIC WELLNESS ASSOCIATES LLLP
- Practice address
- 1240 Upper Hembree Rd Ste a
Roswell, GA 30076-0914 - Phone
- (888) 381-8556
- NPI assigned
- Mar 23, 2020
- 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. Maia Alees Walton, MD
- Title
- Medical Director
- Phone
- (888) 381-8556
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X |
Addresses
Primary practice location
1240 Upper Hembree Rd Ste a
Roswell, GA 30076-0914
Mailing address
1240 Upper Hembree Rd Ste a
Roswell, GA 30076-0914
Phone (888) 381-8556
National Provider Directory
National Provider DirectoryLocations
1240 Upper Hembree Rd
Ste A
Roswell, GA 30076
Phone (404) 751-3693
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584921600000",
"number": "1902433832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 UPPER HEMBREE RD STE A",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300760914",
"telephone_number": "888-381-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 UPPER HEMBREE RD STE A",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300760914",
"telephone_number": "888-381-8556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC WELLNESS ASSOCIATES LLLP",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-23",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A",
"authorized_official_last_name": "WALTON",
"authorized_official_first_name": "MAIA",
"authorized_official_middle_name": "ALEES",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "888-381-8556",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.