Active NPI
Total Access Pediatrics LLC
- Pediatrics Physician
- Alpharetta, GA
National Provider Identifier
1952888927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 077296
- Legal business name
- TOTAL ACCESS PEDIATRICS LLC
- Practice address
- 401 S Main St Ste A1
Alpharetta, GA 30009 - Phone
- (470) 300-9009
- Fax
- (404) 393-3912
- NPI assigned
- Jul 23, 2018
- 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
- Sydney Nichols, MD
- Title
- Manager
- Phone
- (620) 515-2487
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 077296 | GA | Primary |
Addresses
Primary practice location
401 S Main St Ste A1
Alpharetta, GA 30009
Mailing address
4470 Chamblee Dunwoody Rd Ste 510
Dunwoody, GA 30338-6238
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Sebastian, FL
- NPI 1235391012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534204800000",
"number": "1952888927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4470 CHAMBLEE DUNWOODY RD STE 510",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303386238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S MAIN ST STE A1",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30009",
"telephone_number": "470-300-9009",
"fax_number": "404-393-3912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL ACCESS PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-23",
"last_updated": "2018-08-14",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "SYDNEY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "620-515-2487",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "GA",
"license": "077296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.