Active NPI
Greater Atlanta Pediatrics PC
- Pediatrics Physician
- Stone Mountain, GA
National Provider Identifier
1932611068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- GREATER ATLANTA PEDIATRICS PC
- Practice address
- 5674 Memorial Dr
Stone Mountain, GA 30083-3254 - Phone
- (770) 322-6161
- Fax
- (770) 322-6191
- NPI assigned
- Oct 30, 2017
- Last updated
- Nov 2, 2021
- 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
- Janeth Hammid
- Title
- Office Manager
- Phone
- (770) 322-6161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
5674 Memorial Dr
Stone Mountain, GA 30083-3254
Mailing address
5674 Memorial Dr
Stone Mountain, GA 30083-3254
Phone (770) 322-6161
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2140178 | Greater Atlanta Pediatrics, PC | Certificate of waiver | Nov 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
5674 Memorial Dr
Stone Mountain, GA 30083
Phone (770) 322-6161
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Pediatric Nurse Practitioner
- Stone Mountain, GA
- NPI 1679293260
Single Specialty
-
- Pediatrics Physician
- Stone Mountain, GA
- NPI 1861423295
-
- Family Nurse Practitioner
- Stone Mountain, GA
- NPI 1174315741
-
- Physician Assistant
- Stone Mountain, GA
- NPI 1790409621
-
- Nurse Practitioner
- Stone Mountain, GA
- NPI 1215912670
-
- Family Nurse Practitioner
- Stone Mountain, GA
- NPI 1043690605
-
- Pediatrics Physician
- Clarksville, TN
- NPI 1346014065
-
- Family Medicine Physician
- Monroeville, PA
- NPI 1013691815
Single Specialty
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1881302883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635811200000",
"number": "1932611068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5674 MEMORIAL DR",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300833254",
"telephone_number": "770-322-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5674 MEMORIAL DR",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300833254",
"telephone_number": "770-322-6161",
"fax_number": "770-322-6191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER ATLANTA PEDIATRICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-30",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A",
"authorized_official_last_name": "HAMMID",
"authorized_official_first_name": "JANETH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "770-322-6161"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.