Active NPI
Pediatric Inpatient Care Specialists, PLLC
- Pediatric Critical Care Medicine Physician
- Mableton, GA
National Provider Identifier
1942502174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- Legal business name
- PEDIATRIC INPATIENT CARE SPECIALISTS, PLLC
- Practice address
- 1216 Heritage Lakes Dr SW
Mableton, GA 30126-1248 - Phone
- (404) 734-3491
- NPI assigned
- Nov 19, 2010
- 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. Melvin Perry, MD
- Title
- Shareholder
- Phone
- (404) 734-3491
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Pediatric Critical Care Medicine Physician | 2080P0203X | Primary | ||
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | |||
| Hospitalist Physician | 208M00000X |
Addresses
Primary practice location
1216 Heritage Lakes Dr SW
Mableton, GA 30126-1248
Mailing address
2001 N Oregon St
El Paso, TX 79902-3320
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292544000000",
"number": "1942502174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N OREGON ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799023320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 HERITAGE LAKES DR SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301261248",
"telephone_number": "404-734-3491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC INPATIENT CARE SPECIALISTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-19",
"last_updated": "2010-12-17",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "MELVIN",
"authorized_official_title_or_position": "SHAREHOLDER",
"authorized_official_telephone_number": "404-734-3491",
"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": false
},
{
"code": "2080P0203X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mableton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.