Bright Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

50126 Issued in GA

Legal business name

BRIGHT PEDIATRICS, PC

Practice address

2918 E Walnut Ave
Dalton, GA 30721-8724

Phone

(706) 529-4600

Fax

(706) 529-4633

NPI assigned

Apr 22, 2010

Organization subpart

No

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

Authorized official

Name

Rami Azzouz, MDNPI 1538114657

Title

MD/Owner

Phone

(706) 529-4600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 22

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

• Rami Azzouz, MD

  • Pediatrics Physician
  • Dalton, GA
  • NPI 1538114657
  Medicare reassignment NPD Authorized official
• Edwin Noel Centerwall, M.D.

  • Pediatrics Physician
  • Dalton, GA
  • NPI 1396279717
  NPD
• Mary Brianna Cook, IBCLC

  • Lactation Consultant (Non-RN)
  • Dalton, GA
  • NPI 1760155725
  NPD
• Evan Sunshine Crawford Lee, RN

  • Nurse Practitioner
  • Dalton, GA
  • NPI 1619511052
  NPD
• Kristen Payne Deweese, DO

  • Pediatrics Physician
  • Dalton, GA
  • NPI 1992966501
  NPD
• Deirdre W Ensley, FNP, BC

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1083814222
  NPD
• Caroline Fletcher Hedrick, FNP

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1639164213
  NPD
• Andrew Fournet, M.D.

  • Pediatrics Physician
  • Dalton, GA
  • NPI 1225490923
  NPD
• Sarah Nicole Hill, FNP-C

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1528746229
  NPD
• Kaylee Vanessa Keener, RN

  • Family Nurse Practitioner
  • Dalton, GA
  • NPI 1427756758
  NPD
• Megan Eileen Lott, FNP-C

  • Pediatric Nurse Practitioner
  • Fort Oglethorpe, GA
  • NPI 1992403232
  NPD
• Michael Dorian McBride, M.D.

  • Pediatrics Physician
  • Fort Oglethorpe, GA
  • NPI 1407826795
  NPD

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1912224577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 E WALNUT AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218724",
            "telephone_number": "706-483-9613",
            "fax_number": "706-529-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 E WALNUT AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218724",
            "telephone_number": "706-529-4600",
            "fax_number": "706-529-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-22",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "AZZOUZ",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "706-529-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "50126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Scott Braverman, D.D.S.
• Lauren E Breck, OTR/L
• Kourtni Brewer, PHARMD
• Brian Glass MD OB/GYN
• Kathleen Ryan Bridges, LCSW
• Lindsay Inger Bright, NP
• Bruce L Broadrick Jr., PHARMD., LPC
• Megan Elizabeth Brock, PT, DPT, MPH
• Wesley Carson Brock, PHARM.D.
• Peyton Brianne Brooker

• Pediatrics Physician in Dalton, GA
• Providers in Dalton, 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 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.