NPIMap

Organization Active NPI

The After Owls Pediatric Care,LLC

  • Pediatrics Physician
  • Dublin, GA
National Provider Identifier
1972880995
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
049093 Issued in GA
Legal business name
THE AFTER OWLS PEDIATRIC CARE,LLC
Practice address
102 Bowling LN
Dublin, GA 31021-2502
Phone
(478) 272-0203
Fax
(478) 272-0223
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Robyn Soos
Title
Practice Manager
Phone
(478) 272-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 049093 GA Primary

Addresses

Primary practice location

102 Bowling LN
Dublin, GA 31021-2502

Mailing address

102 Bowling LN
Dublin, GA 31021-2502
Phone (478) 272-0203

Other identifiers 1

IdentifierTypeStateIssuer
000906529EMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1972880995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BOWLING LN",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212502",
            "telephone_number": "478-272-0203",
            "fax_number": "478-272-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BOWLING LN",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212502",
            "telephone_number": "478-272-0203",
            "fax_number": "478-272-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AFTER OWLS PEDIATRIC CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "SOOS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "478-272-0203"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "049093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000906529E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.