DV PEDIATRICS LLC (NPI# 1346368149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346368149 |
| Entity Type | Organization |
| Organization Name | DV PEDIATRICS LLC |
| Practice Address |
2920 Marietta Hwy Suite 142 Canton GA 30114-8212 |
| Practice Telephone | 7707040057 |
| Practice Fax Number | 7707040223 |
| Mailing Telephone | 7707040057 |
| Mailing Fax Number | 7707040223 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. VICKI D KNIGHT-MATHIS (OWNER) |
| Authorized Official Telephone | 7707040057 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
047337 | GA | Ambulatory Health Care Facilities |
| Street Address |
2920 MARIETTA HWY SUITE 142 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-8212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916212 | Vicki D Knight-mathis | Pediatrics | 2920 Marietta Hwy, Suite 142, Canton, GA 30114-8212 | 2005-07-19 |
| 1669865093 | Price Counseling L.L.C. | Social Worker | 2920 Marietta Hwy, Suite 122, Canton, GA 30114-8212 | 2015-03-10 |
| 1194155986 | Cherokee Family Dental, LLC | Dentist | 2920 Marietta Hwy, Suite 146, Canton, GA 30114-8212 | 2013-11-15 |
| 1164745543 | Daniel Warren Turner | Chiropractor | 2920 Marietta Hwy, Suite 102, Canton, GA 30114-8212 | 2010-03-12 |
| 1366772246 | Christine Schwery | Social Worker | 2920 Marietta Hwy, Suite 104, Canton, GA 30114-8212 | 2009-12-28 |
| 1316180524 | Erin Brooke Sipe | Nurse Practitioner | 2920 Marietta Hwy, #142, Canton, GA 30114-8212 | 2009-04-17 |
| 1447419635 | Starrett Chiropractic, P.C. | Chiropractor | 2920 Marietta Hwy, Suite 102, Canton, GA 30114-8212 | 2008-06-03 |
| 1225218274 | Christina Temples Cushing | Counselor | 2920 Marietta Hwy, Suite 132, Canton, GA 30114-8212 | 2007-11-07 |
| 1982743167 | Patricia Lillian Heflin | Counselor | 2920 Marietta Hwy, Suite 8, Canton, GA 30114-8212 | 2007-02-05 |
| 1245378868 | Sandra S. Williams | Social Worker | 2920 Marietta Hwy, Suite 8, Canton, GA 30114-8212 | 2007-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609425180 | Wafa A Elhassan Md Pllc | Clinic/Center | 1905 S Haggerty Rd, Canton, MI 48188-2025 | 2019-09-08 |
| 1326435199 | Forever Kids Pediatric Clinic | Clinic/Center | 182 Privatet Road 6413, Canton, TX 75103 | 2015-04-20 |
| 1265834949 | Kcc Health Promotion Services LLC | Clinic/Center | 1821 Maple Park Dr W, Canton, MI 48188-4829 | 2014-09-24 |
| 1033435680 | Psp Medical Clinic, LLC | Clinic/Center | 1171 Hart St., Canton, MS 39046 | 2010-04-07 |
| 1982933487 | Atlas Healthcare and Rehab Holly Springs | Clinic/Center | 2945 Holly Springs Pkwy, Canton, GA 30115-7449 | 2009-12-11 |
| 1902088453 | Canton Family Clinic Inc. | Clinic/Center | 120 E Academy St, Canton, MS 39046-4502 | 2007-11-27 |
| 1255413639 | Vibha Vig Md Pa | Clinic/Center | 156 River Oaks Dr, Suite A, Canton, MS 39046-5376 | 2006-10-19 |
| 1235671926 | Canton South Family Healthcare, LLC | Clinic/Center | 4822 Cleveland Ave S, Canton, OH 44707-1034 | 2016-11-11 |
| 1861818460 | Majid M Taj Md Pllc | Clinic/Center | 41750 Michigan Ave, Canton, MI 48188-2679 | 2014-03-07 |
| 1386081529 | Canton Family Medicine and Medical Spa, Pllc | Clinic/Center | 5958 N Canton Center Rd, Suite 200, Canton, MI 48187-2765 | 2013-05-29 |
| Find all providers in CANTON | ||||
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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.