Pediatric Associates of Newnan P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

046279 Issued in GA

Legal business name

PEDIATRIC ASSOCIATES OF NEWNAN P.C.

Practice address

775 Poplar Rd
Suite 150
Newnan, GA 30265-8300

Phone

(770) 400-8450

Fax

(770) 400-8451

NPI assigned

Jan 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lafayette Whipple IV, M.D.

Title

President

Phone

(770) 400-8450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1992127856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 POPLAR RD",
            "address_2": "SUITE 150",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302658300",
            "telephone_number": "770-400-8450",
            "fax_number": "770-400-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 POPLAR RD",
            "address_2": "SUITE 150",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302658300",
            "telephone_number": "770-400-8450",
            "fax_number": "770-400-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF NEWNAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LAFAYETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-400-8450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "046279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Newnan, GA
• Providers in Newnan, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.