Mountain Views Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

020614 Issued in GA

Legal business name

MOUNTAIN VIEWS PEDIATRICS

Practice address

2754 N Decatur Rd Ste 112
Decatur, GA 30033-5917

Phone

(404) 508-1208

NPI assigned

Jun 20, 2008

Organization subpart

No

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

Authorized official

Name

Annie Varghese, D.O.

Title

President

Phone

(404) 508-1208

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1922269182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 N DECATUR RD STE 112",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335917",
            "telephone_number": "404-508-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 N DECATUR RD STE 112",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335917",
            "telephone_number": "404-508-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEWS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-508-1208",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "020614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00542066H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Jackson Mosley, M.D.
• Lois Moss, LCSW
• Sheena Moss, PHARM.D.
• Baabak Mostoufi, PT, DPT, CSCS
• Motions to Go Health Services LLC
• Marcia Mouzon
• Meagan Finan Moyer, RD, LD
• Judith R Mozley, M.S.W.
• Mpacs
• Mrs Sheila McKenzie-Garrett

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.