ZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC (NPI# 1053684936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053684936 |
| Entity Type | Organization |
| Organization Name | ZOE CENTER FOR PEDIATRIC & ADOLESCENT HEALTH, LLC |
| Practice Address |
210 Hannahs Mill Rd Thomaston GA 30286-2801 |
| Mailing Address |
959 17th St Ste B Columbus GA 31901-1984 |
| Practice Telephone | 7069380990 |
| Mailing Telephone | 7065079127 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | DR. STEPHANIE KONG (OWNER) |
| Authorized Official Telephone | 7069380990 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
39388 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003122332A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861748535 | Zoe Center for Pediatric & Adolescent Health, LLC | Pediatrics | 100 Highway 18 W, Ste 201, Barnesville, GA 30204-1171 | 2012-07-31 |
| 1477815306 | Zoe Center for Pediatric & Adolescent Health, LLC | Pediatrics | 100 Highway 18 W, Ste 201, Barnesville, GA 30204-1171 | 2012-06-15 |
| Street Address |
210 HANNAHS MILL RD |
| City | THOMASTON |
| State | GA |
| Zip Code | 30286-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508851908 | Stephanie H Kong | Pediatrics | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2005-09-13 |
| 1881229045 | Erica Denise Ferrell | Nurse Practitioner | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2020-03-09 |
| 1437713112 | Jeremiah A D'annunzio | Pediatrics | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2019-04-27 |
| 1932273786 | Jacqueline Moyerman | Psychologist | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2006-11-20 |
| 1780768390 | Karen S Harper | Physician Assistant | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2006-10-24 |
| 1447282637 | Linda Ruth Gordon | Pediatrics | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190670 | Careconnect Health, Inc. | Clinic/Center | 101 Deluxe Circle, Suite B, Thomaston, GA 30286 | 2015-07-24 |
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1841301900 | Kenneth Murray Deen | Ophthalmology | 232 Cherokee Road, Thomaston, GA 30286 | 2006-08-31 |
| 1659489987 | William B Gardner | Dentist | 507 W Gordon St, Thomaston, GA 30286 | 2006-08-28 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| Find all providers in zip 30286 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427616515 | Pedsnow LLC | Pediatrics | 863 W Oglethorpe Hwy Ste 220, Hinesville, GA 31313-4491 | 2019-06-03 |
| 1073885828 | Middle Georgia Pediatrics | Pediatrics | 1508 Hardeman Ave Ste B, Macon, GA 31201-1471 | 2012-02-08 |
| 1003184409 | Greer Gadsden Larned, M.d., P.C., Faap | Pediatrics | 3802 Waters Ave, Savannah, GA 31404-6210 | 2011-12-13 |
| 1427333095 | Dahlonega Pediatric and Adolescent Medicine | Pediatrics | 1055 North Grove St., Dahlonega, GA 30533 | 2011-10-14 |
| 1770710824 | Children's Medicine of Rockdale | Pediatrics | 1765 Parker Rd Se, Suite B210, Conyers, GA 30094-6652 | 2009-06-16 |
| 1518110451 | Pedia Doc Children's Med Ctr | Pediatrics | 3088 Campbellton Rd Sw, Atlanta, GA 30311-5410 | 2008-10-23 |
| 1396929444 | Total Grace Pediatrics P.C. | Pediatrics | 900 N Hairston Rd # Rs, Suite A, Stone Mountain, GA 30083-2857 | 2007-12-26 |
| 1306060801 | Crystal M Edds | Pediatrics | 125b Victory Dr, Swainsboro, GA 30401-3234 | 2007-04-13 |
| 1962523639 | William P Bristol | Pediatrics | 3300 Fourth Street, Brunswick, GA 31520-3779 | 2007-04-02 |
| 1861527103 | Florida Selga Basilio | Pediatrics | 1519 13th Ave, Columbus, GA 31901-1908 | 2007-02-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.