Active NPI
The M Center for Integrative Pediatrics
- Pediatrics Physician
- Suwanee, GA
National Provider Identifier
1962039420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- THE M CENTER FOR INTEGRATIVE PEDIATRICS
- Practice address
- 5050 Research CT Ste 800
Suwanee, GA 30024-6606 - Phone
- (888) 381-8556
- NPI assigned
- Mar 25, 2020
- 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. Maia Alees Walton, MD
- Title
- Medical Director
- Phone
- (888) 381-8556
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X |
Addresses
Primary practice location
5050 Research CT Ste 800
Suwanee, GA 30024-6606
Mailing address
1240 Upper Hembree Rd Ste a
Roswell, GA 30076-0914
Phone (888) 381-8556
Other practice location 1
1240 Upper Hembree Rd Ste A
Roswell, GA 30076-0914
Phone (888) 381-8556
National Provider Directory
National Provider DirectoryLocations
5050 Research Ct
Ste 800
Suwanee, GA 30024
Phone (678) 749-7600
Practitioners & affiliated clinicians
Practitioners 1
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": "1585094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585094400000",
"number": "1962039420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 UPPER HEMBREE RD STE A",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300760914",
"telephone_number": "888-381-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 RESEARCH CT STE 800",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246606",
"telephone_number": "888-381-8556"
}
],
"practiceLocations": [
{
"address_1": "1240 Upper Hembree Rd Ste A",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300760914",
"country_code": "US",
"telephone_number": "888-381-8556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE M CENTER FOR INTEGRATIVE PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-25",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A",
"authorized_official_last_name": "WALTON",
"authorized_official_first_name": "MAIA",
"authorized_official_middle_name": "ALEES",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "888-381-8556",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0008X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.