NPIMap

Organization Active NPI

Cumberland Pediatrics, P.C.

  • Pediatrics Physician
  • Marietta, GA
National Provider Identifier
1972684660
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CUMBERLAND PEDIATRICS, P.C.
Practice address
1405 Franklin Rd SE
Marietta, GA 30067-8705
Phone
(770) 951-5400
Fax
(770) 951-0955
NPI assigned
Oct 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen A Moore, M.D.NPI 1245326859
Title
Owner/President
Phone
(770) 951-5400

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 Physician 208000000X NU Primary

Addresses

Primary practice location

1405 Franklin Rd SE
Marietta, GA 30067-8705

Mailing address

1405 Franklin Rd SE
Marietta, GA 30067-8705
Phone (770) 951-5400

National Provider Directory

National Provider Directory

Locations

1405 Franklin Gtwy SE
Marietta, GA 30067
Phone (770) 951-5400

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972684660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 FRANKLIN RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678705",
            "telephone_number": "770-951-5400",
            "fax_number": "770-951-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 FRANKLIN RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678705",
            "telephone_number": "770-951-5400",
            "fax_number": "770-951-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "770-951-5400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.