Organization Active NPI

Little Five Points Pediatrics LLC

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1922588474
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
052763 Issued in GA
Legal business name
LITTLE FIVE POINTS PEDIATRICS LLC
Practice address
427 Moreland Ave NE Ste 400
Atlanta, GA 30307-1500
Phone
(404) 521-2445
Fax
(404) 521-0067
NPI assigned
Aug 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Dr. Shelley Elizabeth Kim, MDNPI 1528174117
Title
Owner/Pediatrician
Phone
(404) 521-2445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 052763 GA Primary

Addresses

Primary practice location

427 Moreland Ave NE Ste 400
Atlanta, GA 30307-1500

Mailing address

427 Moreland Ave NE Ste 400
Atlanta, GA 30307-1500
Phone (404) 521-2445

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1001533Little Five Points Pediatrics427 Moreland Avenue, NE, Suite 400, Atlanta, GA 30307Certificate of waiverNov 17, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1922588474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 MORELAND AVE NE STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071500",
            "telephone_number": "404-521-2445",
            "fax_number": "404-521-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 MORELAND AVE NE STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071500",
            "telephone_number": "404-521-2445",
            "fax_number": "404-521-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE FIVE POINTS PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PEDIATRICIAN",
        "authorized_official_telephone_number": "404-521-2445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "052763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.