THE KID DOCTOR PC (NPI# 1235388786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235388786 |
| Entity Type | Organization |
| Organization Name | THE KID DOCTOR PC |
| Other Organization Name | BRIAN KEITH CHILDERS MD |
| Practice Address |
100 Doctors Dr Suite 104 Douglas GA 31533-2210 |
| Practice Telephone | 9123834352 |
| Practice Fax Number | 9123841192 |
| Mailing Telephone | 9123834352 |
| Mailing Fax Number | 9123841192 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |
| Authorized Official Name | SHELLIE VOORHEES (MANAGER) |
| Authorized Official Telephone | 9123834352 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 042212 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000718792E | 05 |
| Other Name | Type Code |
|---|---|
| Brian Keith Childers MD | Doing Business As Name - Organization |
| Street Address |
100 DOCTORS DR SUITE 104 |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942746391 | Haley Sellers Lewis | Nurse Practitioner | 100 Doctors Dr, Suite G, Douglas, GA 31533-2210 | 2017-01-10 |
| 1740649623 | Crh Physician Practices, LLC | General Practice | 100 Doctors Dr, Suite G, Douglas, GA 31533-2210 | 2016-02-19 |
| 1568869170 | Orthopedic Surgeons of Georgia, LLC | Physical Medicine & Rehabilitation | 100 Doctors Dr, Suite F, Douglas, GA 31533-2210 | 2014-11-25 |
| 1598166175 | Dean M Harper | Physician Assistant | 100 Doctors Dr, Douglas, GA 31533-2210 | 2014-09-15 |
| 1245678168 | Crh Physician Practices LLC | Family Medicine | 100 Doctors Dr, Ste 101, Douglas, GA 31533-2210 | 2013-06-13 |
| 1700137684 | Crh Physician Practices LLC | General Practice | 100 Doctors Dr, Ste 102, Douglas, GA 31533-2210 | 2012-10-02 |
| 1659622645 | Crh Physician Practices LLC | Obstetrics & Gynecology | 100 Doctors Dr, Ste 202, Douglas, GA 31533-2210 | 2012-10-01 |
| 1457528986 | Nicole Ylonne Payne | Physical Medicine & Rehabilitation | 100 Doctors Dr, Suite I, Douglas, GA 31533-2210 | 2008-05-14 |
| 1437356813 | Laura L Tharp | Orthopaedic Surgery | 100 Doctors Dr, Suite 204, Douglas, GA 31533-2210 | 2007-06-29 |
| 1144426032 | Amy M Booth | Physical Therapy Assistant | 100 Doctors Dr, Suite 105, Douglas, GA 31533-2210 | 2007-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1326211152 | Carol Renee Williams | Pediatrics | 200 Doctors Dr Ste P, Douglas, GA 31533-2202 | 2008-04-13 |
| 1568496164 | Jonathan Paul Melk | Pediatrics | 815 E 15th Street, Douglas, AZ 85607-1631 | 2006-07-10 |
| 1144289760 | Milla Sergeerna Rosen | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2006-03-22 |
| 1609869114 | Dushyant J Patel | Pediatrics | 1020 Bryan St W, Douglas, GA 31533-2328 | 2005-08-30 |
| 1659379741 | Dyapa S Reddy | Pediatrics | 303b Shirley Ave, Douglas, GA 31533-2333 | 2005-07-12 |
| 1477940310 | Mai El Gasim | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2015-04-17 |
| 1710388954 | Claudia Patricia Pleitez Tecun | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2014-09-08 |
| 1235556168 | Jeffrey Richard Holzberg | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2014-03-28 |
| 1417396342 | Joi Livingston Rogers | Pediatrics | 200 Doctors Dr, Suite 201, Douglas, GA 31533-2201 | 2013-06-25 |
| Find all providers in DOUGLAS | ||||
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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.