GEORGIA CENTER FOR AUTISM AND DEVELOPMENTAL PEDIATRICS, LLC (NPI# 1154956621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154956621 |
| Entity Type | Organization |
| Organization Name | GEORGIA CENTER FOR AUTISM AND DEVELOPMENTAL PEDIATRICS, LLC |
| Practice Address |
6065 Roswell Rd Ste 470 Sandy Springs GA 30328-4067 |
| Practice Telephone | 7708243395 |
| Practice Fax Number | 7706915116 |
| Mailing Telephone | 4047486013 |
| Mailing Fax Number | 8669843407 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | DR. MARK DANIEL MONCINO (CEO) |
| Authorized Official Telephone | 4047486013 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
| Street Address |
6065 ROSWELL RD STE 470 |
| City | SANDY SPRINGS |
| State | GA |
| Zip Code | 30328-4067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790338374 | Jametria Rae Floyd | Pediatrics | 1008 Rowanshyre Cir, Mcdonough, GA 30253-2918 | 2019-07-22 |
| 1841594280 | Maria Victoria Novoa Uriarte | Pediatrics | 1920 Briarcliff Rd, Atlanta, GA 30329 | 2010-12-28 |
| 1194951764 | Margaret Ann Ellis | Pediatrics | 310 Eisenhower Drive, Building 5, Savannah, GA 31406 | 2009-06-09 |
| 1144307448 | Nancy Carnevale | Pediatrics | 1201 Burleyson Rd, Dalton, GA 30720-3019 | 2006-11-01 |
| 1194834218 | Doris M Greenberg | Pediatrics | 5120 Paulsen Street, Savannah, GA 31405 | 2006-08-30 |
| 1982635546 | Georgina Peacock | Pediatrics | 1600 Clifton Road Mail Stop E-87, Centers for Disease Control and Prevention, Alanta, GA 30333 | 2006-07-05 |
| 1992754998 | Michelle L Kanney | Pediatrics | Emory School of Medicine 100 Woodruff Circle, Atlanta, GA 30322-0001 | 2006-05-08 |
| 1275590812 | Sonia Valita George | Pediatrics | 3535 Roswell Rd Ne, Suite #44, Marietta, GA 30062-8826 | 2006-04-27 |
| 1932741014 | Andi Michelle Dycus | Pediatrics | 1110 13th St Ste D, Columbus, GA 31901-2246 | 2019-10-10 |
| 1700357217 | Hamilton Children's Institute Inc | Pediatrics | 1201 Burleyson Rd, Dalton, GA 30720 | 2018-12-10 |
| Find all providers with the same taxonomy | ||||
| City | SANDY SPRINGS |
| Zip Code | 30328 |
Please comment or provide details below to improve the information on GEORGIA CENTER FOR AUTISM AND DEVELOPMENTAL PEDIATRICS, LLC.
| 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.